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Home My WebLink About0038 LITTLE RIVER ROAD s`'" ,, �; � �,;� �� r r oFt r Town.of Barnstable *Permit# ti Expires 6 months rom issue date O � Regulatory Services Fee �} • RMMSTABM « 9� MASS. Richard V.Scali,Director 1639. �m AlEO��A Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number f�O Property Address ya �i � `�' �✓s Residential Value of Work$ ®0� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address ,� - Contractor's Name Telephone Number__ ��` � Home Improvement Contractor License#(if applicable) /77� Email: �.eOZ,,��Us� �!/✓% / � ��arL Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: X® PERMIT❑ I am a sole proprietor ❑ I apAhe Homeowner 1 ave Worker's Compensation Insurance OCT 5 2014 Insurance Company Name N OFBARNITABLE Workman's Comp.Policy# (� a v �` 3 Copy of Insurance Compliance Certificate must accompany each permit. Permit Reque check box) Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to �� ❑ Relsof(hurricane nailed)(not stripping. Going over existing'layers of roof) e-side ❑ Replacement Windows/doors/sliders.U-Value ./30 (maximum .35)#of windows . #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Impr vement Contractors License&Construction Supervisors License is quired. 01 SIGNATURE: Q:\WPFILES\FORMS\buildi rmiYfonns\EXPRESS.doc Revised 061313 r Yhe Canwrartn of Uassachms Depart=mt of hu&, s&iid Accidents - rios t Boston,MA 02111, f wft-tu nass goWdia ' orker-&' Compe.nsatioxtlnsi=-a davit:BuifdersfCantra:ctors/FIectriciansMumbers AppU ant lufm-matiort Please Print Legibly Namo(Bug--lOYganizafiau& vid=0 ��'�� l�ez yf-4 CitytS ta.tzl7ip_ C� Phone a .- . _ r{ ' AZZ-m employer: tlfieck.the appropriate b�wu T}. . ect of oi - _ a emp?over with ❑ I am a_eaesal omfractor and I 6- ❑New m.,t tioa have hired the sub-contractors. € %ogees{fu11 a4dlorpart�ame�� 7_ I�ndelizg 2_❑ I^�n a sole popaetor arpartner Iisted on tise at+ached.sheet ❑ s�and hzzle no c:nployess T1�ese sub-contractors have $_ Demolifioa crlang -56-r me m any capacity emplca}-,es and have,croAcers' 9_ ❑Building ad'difion NO:wa_i s' c.4aip_r*� +1Tanre co=_msuran�l =cPXf ] 5-❑ 'VT-t are a corporation and its 10,[]Electrical repairs additions ofE s have exercised fbeir i L.0 Plumbing repairs , or additions, 3.❑ I ax a home vvaes doing all tiva �ymSf [No tvori�rs'eonxp right.of ez�mptianper IvfGL 12_. not mpim Durance rezlni*2�i_]F c_152,§1(4 and we have nu employee-s_[No wxktss' 1-_0 offier comp_msuzanceregrure-d.1 -Any sgpck:B�'. xr cl ecks boa fl ams#also fll o tip section ]eir�} ��inea tao3cas�coaape�sdioa4 pc�iicF 3 1 yl e Ldx v f inaats g tney aze S-mg_n--3-—A then hire mdt &e contractors nmst soIng>t a a Brit sncfi C��ccors fist rhxlc this bmc maFstachrtl au:dflianns I sheet snoceir he a tiff fiP s amd stste xhetler oEnut thnsa 5 empia�_ Ifth° empio}--s,they moil prs-ide I'-- comp.pohcp nwnher_ axe tier e at e riratisgrmridirxg tvor ers'corzipgturfio.n iresrtrance or y emrg£oyec HeLow is Ste pohic}arrdjob alto informalia;*- Insurance Gom-cm /' j Policy 4,of S-elf ins_Lic- �(�Oy� ©�!'-�� Expifatioal3ate= �. Job Sit Address_ G� L'C.Z9 Cib"'StatelT.ap_ Attadt a copy of the worktxs'compensafwn;policy declaration page(showing,the policy number and expiration date). Failure fu sr--cure caVerage as ragaireduszder Se,lEoa 25 k o€MGL G 152 can lmd to the imposition of'crimin;a1penalties of a fine up to$15aa_0a andlor one-yearimpnisonment as weU as civil peaalfies in ihe fosm of a STOP WORK ORDER-and a-fine- of up.to$250-00 a day against the violator_ Be ad-6sed that:a czpy of this statement maybe fhrwarded to the Office-of Im=e&gatzoas of the DIA far Mi sae w coverage verification_ .Ida her-ely cetltj rt. ksgairts all na "s �p��'that$is injorraatian prm2ded ab.ave Es traz onrl correct Simatoze- Date._, CP Phone Off"uL usa only. D47 not write in fhis area,to bs camptetad by d}'at town of(i'ciaL City or Town: _PermitfUcense# L-suixig Authority(drde one).: . I.Board of Hezlth Buildkg IJeparbnent 1 GitF,awn Clerk 4.EIednca1 Inspec#or 5.Plumbing hspec€or 6:Other Cesi;�ct PEran: Phone#: . 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute, an employee is defined as"___every person in the service of another under any contract of hire, express or implied, oral or written_" An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees_ However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the- dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also s±ts ghat"every state or Iocal licensing agency shall withhold the issuance or renewal of a License or permit to operate a business or to construct buildings in the commonwealth for an.y applicant who has not produced acceptable evidence of compliance wih the insurance-coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the con.monweal`h nor any of its political subdivisions shall enter into any contract for the pei-foimance of public work until acceptable cvidence of complian.cc wituli the insurance requirements of this chapter have been presented to the contracting ai;.thority-" Applicants — Please fill out the workers' compensation a Hdavit completely,by checking the boxes that apply to yrur situation and,1I necessary,supply sub-contractors)n?=t(s), address(es)and phone Lm�-be-(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC) or Limited Liability Pais erships(1_LP)win no employees other than the members or partners,are not requi ed to carry workers' compensation insn ance_ if an LL.0 or LLP does have employees, a policy is required_ De advised that his affidavit may be bmiited to the Deparu`nent of indu_saaial Accidents for confirmation of i;;-rance coverage. Also be sure to sign and date the aflid2vit. 'I1re affildavit sho,Td be returned to the city or town that he application for the permit or l icznse is being requested,not the Department of Industrial Accidents_ Should you.`,ave any questions regarding the law or if you are required to obt:I-i a workers' compensation policy,please ca_LI the Depa-trnent at the number listed below. Sell-insured companies should enter it eir self-iD aace license number on tr_e appropriate line_ City or Town Officials Please be sure that the affi-davit is c-o-mplete and printed legibly. The Department b.as provided a space at the bottom of he affidavit for you to nll out'he event the Office of Investigations has to contact you re2wrcing the applicant- Please be sure to fill in the pem t/3iccuse number which will be used as a reference number. In additim-an applicant that must submit multiple pernitllicense applications in any given year,need only submit one aMdavit indicating cur-,ent policy information (if necessary) and up_der"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit tlizt has been officially stamped or marked by he city or town may be provided to the applicant as proof that a valid affi:�Frit is on file for futurepermits or licenses. A new affidavit must be tilled out each year_Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NTOT required to complete this aMdavit_ The Office of Investigations would like to thank you in advance for your coope_zz.;ioa and shouldyou have any questions, please do not hesitate to give us a cal I- The Department's address,telephone and fax number: Tb�CoTnma iw4 altlx of Wssachiisetts Department of IndustW Accide�n Grace oz lavesfigatioa i 600 Washingtan St�� Ttl, , 617 727-49-GO W 406 or I-RT7?NL4SSAFF- tRc. dsed 4-24-07 Fax r 617=127-T749 Y�.M=13-gavF d1a Al O` CERTIFICATE ®F LIABILITY INSURANCE DATE(MMIDD901 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: PHONE 'FAX Applied Risk Insurance Services, Inc. (A/C,No,Ext): 877 234-4420 (A/C,No): 877 234-4421 10825 Old Mill Rd E-MAIL Omaha, IRE 68154 ADDRESS: PRODUCER CUSTOMER ID# (877)234-4420 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Continental Indemnity Co. 28258 Carey Grover INSURER B: dba Graver Building and Remodeling INSURERC: PO Box 1080 - Cotuit, MA 02635-1080 INSURER D: INSURER E: CTL 1273 914542 INSURER F: I COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE I NSR I WVD POLICY NUMBER MPIOWLDID/YYYV MM/DD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE _ S COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED CLAIMS u PREMISES(Ea occurrence) S MADE OCCUR MED EXP An one erson $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: I( PRODUCTS-COMP/OPAGG $ POLICY `PROJECT ILOC S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO F] I (Ea accident) $ �ALL OWNED AUTOS l—' BODILY INJURY Per ewn is SCHEDULEDAUTOS I BODILY INJURY Per accident S {1HIREDAUTOS PROPERTY DAMAGE (Per accident) S NON-OWNED AUTOS II S I $ UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE I$ DEDUCTIBLE I S RETENTION S WORKERS COMPENSATION WC STATU• OTH- AND EMPLOYERS'LIABILITY Y/N XTORY LIMIT IER ANY PROPRIETOR/PARTNER/ 1E.L.EACH ACCIDENT $ 100,000 A EXECUTIVE OFFICER/MEMBER I N N/A 46-805700-01-07 08/31/203A 08/31/2015 EXCLUDED? I �1 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 100,000 If yyes,describe under SPECIAL PROVISIONS below I E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach Acord 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION Graver Bl 1ding and RM=191iM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE PO BOC[ 1080 EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. COtU]t, MA 02635-1080 AUTHORIZED REPRESENTATIVE 000-1 Attn: Project V 17 83118 ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD ©1988-2009 ACORD CORPORATION. All rights reserved. � ETti Town of Barnstable ' Regulatory Services *� BM MASS. g* Richard V.Scali,Director Building Division Tom-P-erry,-Building_C-onunissioner —- _ — - 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, / �' ,as Owner of the subject property hereby auVrize �,�� to act on my behalf, in all matters relative to work authorized by this building permit application for: i' (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all.final , inspections are performed and accepted. . X Sign atur of 41gn�7 Applicant Print'Nqx6e Print N Da Q:FORMS:O WNERPERMISSIOINTPOOLS Town of Barnstable Regulatory Services ��oF roily Richard V_ScaIi,Director ° Building Division 4 � saxxsTnsrE Tom Perry,Building Commissioner MASS. v� 1639. 200 Main Street, Hyannis,MA 02601 QED ' n www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number sheet village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner" shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is regnired shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules &Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the Iast page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:\WPFILES\FORMS\building permit foims\EXPRESS.doc Revised 061313 �e oa�vina�zcaerc%/�11914(_a4a,CXcrr,leg, Office.of Consumer Affairs&Business Regulation License or registration valid for individul use only T OME IMPROVEMENT CONTRACTOR I before the expiration date. If found return to:egistration + _ 144322 Type: Office of Consumer Affairs and Business Regulation `expiration 9/23%2016_ DBA 10 Park Plaza-Suite 5170 ih Boston,MA 02116 (. GROVER BUILD]NG,+REMODELING kl, CAREY DROVER =-=13- — > s, 56 BOWDO,I[V RD..: . 7 = rf MASHPEE, MA 02649 Undersecretary valid without signature u Massachusetts - Department of Public Safety Board of Building Regulations and Standards Constriction Supervisor 1 & 2 Family, License: CSFA-077754 CAREY C GROVEI2 - PO BOX 1080 - COTUIT MA 02635 `c ,i14— JJ Expiration Commissioner 11/22/2015 I Telephone: 508/563-6049 COLONY INSULATION, INC. 28 Jonathan Bourne Drive, Pocasset MA 02559 .n CLOSED-CELL FOAM INSULATION SPEC SHEET CONTRACTOR: In C 7 7 ( �j JOB SITE ADDRESS: DATE: AREA THICKNESS R-VALUE Ceiling Cathedral Ceiling Garage Ceiling Basement Ceiling Slopes. Exterior W all Garage Hse. W all W alkout W all 13 x t P uqa i Cathedral W all sx?' B I o c k e r s Overhang S tair/R isers _ e� tt� p All R-values and thickness measurements are deemed to be accurate by the following instillers: C) O, t_ B`5'! TECHNICAL DATA FOR MATERIALS IS ATTACHED TO THIS FORM CORBOND® III Spray Insulation System _ Technical Data Sheet Typical Physical Pro ertles ASTM Method CORBOND 111- Nominal Density 13-1622 2.0 lb/cu.ft. Compressive strength (I") D-1621 25 psi Compressive Strength (Y) D-1621 20 psi Closed Cell Content D-1.940 >90`lb K Factor C-518 (initial) 0.15 (aged) 0.16 C-1029-07 (180 day) R Factor C-518 (initial) 6.6 (aged)' 6.2 C-1029-07 (180 day) Water Absorption D-2842 0.020 (gm/cc) Water Vapor Transmission E-96 (calculated) 0.90 perms 0 2.5". Air Infiltration E-283-04 75 Pa 0.001 L/S/m2 (1,57 psf) (<0,001 cfm/ft2) 300 Pa 0.001 L/S/m2 (6.24 psf) (<0.001 cfm/ft2) Air Permeance E-2178-03 75 Po 0.000055 L/S.m2.Pa 0.000117 ft3/min:m2.Pa 300 Pa 0.000024 L/S.m2.Pa 0.000051 ft3/miri.m2.Pa Sound Transmission Coefficient (STC) E-90-90 &E413-87 36 (STC) 2 x 4 wood stud,16"on centers, 2.76"of COR60ND®. 15132"exterior OSB sheeting,'%"gypsum wallboard, Recycled Content 16.5% NOTES: 1.This Information is Intended only.as a guide for design purposes. The values shown are the overage values obtained from sprayed laboratory samples. The test methods were performed per the ASTM Book of Standards. 2. K Factor varies depending on age and use conditions. " Aged 180 days per Federal Trade Commission 16CFR Part 460 The information herein Is to assist customers In determining whether our products are suitable for their applications. we request that customers Inspect and test our products before use and satisfy themselves as to content and suitability, Our products ore Intended for sole to industrial and commercial customers for processing, we warrant that our products will meet our written specifications.Nothing herein shall constitute any other warranty express or Implied,Including any warronty of merchantability or fitness,nor is,protection from any low or patent to be Inferred. The exclusive remedy for all proven claims Is replacement of raw materials and In nolevefit shall we be Roble for special,incidental or consequential damages. SIR t'• • 5l' J Corbond Corporation r ) CORBOND, 32404 E. SozemanFM 59 71 RS ad � I www.corbond•cem ealee®oorbond.00m Performance Insulation Systems Toll Free.(686)949-90e9 Fax:(406)586-4584 'Henoret�w ii i-__,_®.•ill SEP-09-2009(Wtu) id: dr Lu►counu - Properties and Processing Characteristics ambient temperature and the Reaction times are affected by Liquid Component Properties temperature of the substrate. V6ecoslty 190 Sprayed through Gusmer Model H•II proportionerrocessing Component A(cps) goo cps @ 72' F dap Pro dun with 01 chamber at recommended p Component 5(cps) temperatures and pressures. specific Gravity®70°F 1.2 50% Recommended Substrata Temperature!"t t Mixing Ratio Component A 60% At time of application t. �,:"" Mixing Ratio Component B Winter F81116pring 30°F 45°F Flammability characteristics Minimum 60°F 90°F go Surface Burning Characteristics"-ASTM E•84 Maximum Flame Spread:<25 For.applications below 35°F,Corbond Coe ses should be al Smoke:preae-450 personnel should be consulted. 'Flash'p (Spray applied,V Party iabeled at 1.1/2 inch,4 inch and ti avoided during cold weather applications. Inch thicknesses applied to 114"Cement Board) Spraying 'Note:This numerical flame spread and all other data This spray system may be applied in passes or uniform presented is not intended to reflect the hazards presented by thickness from a minimum of 112'to a maxiproduct may be applied this or any other material In actual fire situations.applications maximum yield and productivity,the I The use of polyurethane foam t r Interior applications le In a single pass to the specified thickness or up to 3 walls or ceilings presents ar unreasonable fire risk unless maximum pass(exceptions may exist when sheet metal or protected by an approved thermal battler with a finish rating Flash'passes or a thin pass of not less than 15 minutes. One BuildingiCode e1definitiont of gypsum wallboard de on page 3)-are encounta an approved"thermal battler"is a material equal of less than 1'on cold surfaces is to be avoided end may on with building code offtclals result in loss of adhesion of subsequent passes and yield. gypsum well board.Consultati before application is recommended. e msterials Thicknesses over 3'require multiple Passes.over pass cure time Caution:Polyurethane foam produced ed o fire orthesxcesslve heat curing and cooling between each Pass; may present a fire hazard If expos minimum I ominrnch. 3 inch pass requires minimum 30 Each firm (i.e.cutting torches,soldering torches etc.). minutes.Hot substrates may require longer,see appi Icon person,or corporation engaged In the use,manufacture, ride s. page 3.CORBONDe III must never be applied production or application of the polyurethane foams thickness exceeding 3 inches in a single peas. if this produced from these resins should carefully examine his thickness Is exceeded It will seriously affect the quality and construction sequencing and end use to determine any physical properties of the finished product and the internal potential fire hazard associated with such product and to temperature building up within the foam may cause charring utilize appropriate precautionary and safety measures during inside the foam bun and broad loafing.Under certain construction. conditions,applications exceeding thls:thlckness may cause spontaneous combus��of the foam tobccur,even hours Equipment. after product was applied. j Proportioning equipment shall be manufactured by e5 Greco/Gusmer or Glessereft and shall be capable of Clean up-Liquids metering each component within t2%of the metering ratio Non-flammable solvents should be usedjor clean up. ,for previously noted. The gun should be of the Internal mix type Consult your solvent manufacturer MSDS handling which provides thorough blending of the two components. precautions. The equipment shall be of the heated airless type capable of maintaining 125°F at the gun by use of both primary heaters Protective Equipment P and heated hoses.Hose thermal sensor in B side.The use Spraying components of p of a fine n stfoam results arid,exposure to the fthe of 2:1 feeder pumps Is recommended for supplying the liquid They posun components to proportioner,especially during winter atomized particles should be avoided. ., g operations. protective equipment Is recommended:t a.Full-face mask or hood with fresh air aource. Processing Characteristics and Recommendations b.Fabric Fabric coveror alls. gloves. Preheater Hose c. Component A 90-1206F 110-125°F Shelf Life&Storage of Raw Materials' Component B 110-125°F_ min 1100 sl All materiels should be stored In their original containers and Gun Pressure at TIP(static) P away from heat and moisture,especially after the seals have been broken and the containers have been opened. Shelf These temperatures are typical of those required to produce life Is 3 months when stared.indoors at a temperature mixed product using conventional Greco/Gusmer equipment between 60°F and 70°F.Storage below 60OF may result In under various conditions. Environmental conditions may compound stratification of B and/or crystalyne formation in A dictate the use of other temperature ranges. However,under component. Temperatures above 75°F,may decrease the no circumstances should a temperature of i30°F be shelf life. Containers should be opened Carefully to allow exceeded. It is the responsibility of the applicator to, any pressure buildup to be vented safely, Extensive venting' determine the epecMc temperature settings t,match the. of the B component may result in loss at blowing agent, environmental conditions,his own equipment,and these higher density foam and reduced yield,',temperatures below. materials. 85°F will Increase the viscosity of the;0ornponente making .temperetures' them difficult to pump. Both components are adversely Machine Mix at recommended Wlntc Falturesng affected by water and humidity. Freight class 55(A or 8) RisofTeck Free Time 3-4.5 sec. 4-5.6 sec. Resin Compounds item 411030 s Cure Time 4 hours 4 hours N01BN Non-Hazardous « + Page 2 Revised 01/2009 jTale�--4hone: 508/563-6049 COLONY INSULATION, INC. 28 Jonathan Bourne Drive, Pocasset, MA 02559 CLOSED-CELL FOAM INSULATION SPEC SHEET 3 �r CONTRACTOR: JOB SITE ADDRESS: � � — C—T, DATE: AREA THICKNESS R-VALUE Ceiling /, Cathedral Ceiling 44,4/ Garage Ceiling Basement Ceiling Slopes r ( Exterior W all Garage Hse. W all- Walkout Wall r Cathedral W all Blockers Overhang Stair/Risers All R-values and thickness measurements are deemed to be accurate by the following installers: Z- 7 W M TECHNICAL DATA FOR MATERIALS IS ATTACHED TO THIS FORM -hermoSeaC 2000—Product Specification Air Permeance/Air Barrier ' r ThermoSeal 2000 fills any shape cavity Burn Characteristics including all voids,cracks,and crevices ThermoSeal 2000 will be consumed by Spr: '.rs adhering to multiple substrates such as flame but will not sustain flame upon wood,metal,and concrete creating a removal of the flame source.ThermoSeal 9'hermoSeaC2000 system with very little air permeance.With 2000 will not melt or di 1p:'ThermoSeal Product Specification ThermoSeal 2000 no additional interior or 2000 must be installed in accordance with p exterior air infiltration protection is all applicable building codes and a building required. inspectors approval should be requested Product Name prior to installation. ThermoSeal 2000 is the registered' ASTM E283 Air Leakage trademark of SprayFoamPolymers.com for Zero(0) ft3/s.ft2 @ 75Pa(25mph wind) ASTM E84 Surface Burning Properties its 2.Olb high density,closed cell foam Sustained Wind Load Flame Spread @5" <=25 insulation. Smoke Developed @ 5" <=450 60 minutes@1000 Pa(90mph wind) Class 1 rating Product Description TBD Fuel Contribution none ThermoSeal 2000 is a semi-rigid,partially ASTM 2863 Oxygen Index TBD% water blown,2.Olb high density Gust Wind Load Test polyurethane foam insulation system blown @3000 Pa(160 mph wind) VOC TESTING TBD CAN/ULC-S774 Pass by Enovate®blowing agent and water which simultaneously insulates and air- TM SASKATCHEWAN RESEARCH , seals your building structure. ThermoSeal ThermoSeal 2.0 qualifies as an air barrier COUNCIL 2000 is designed to make homes more as defined by ICC. energy efficient,stronger,healthier,quieter ThermoSeal 2000 must be covered by an and more comfortable.ThermoSeal 2000 is Water Vapor Permeance approved 15 minute thermal barrier or ignition barrier, applied as a liquid spray which expands ThermoSeal 2000 is water vapor permeable g approximately 15 times its initial mass and and will allow structural moisture to escape. cures within seconds into a semi-rigid mass. For situations requiring a vapor barrier the A These flame-spread ratings are not ThermoSeal 2000 fills all building cavities use of low vapor permeable paint on the intended to reflect hazards presented by this completely sealing all cracks,crevices,and interior of drywall is an option. or any other material undq;Tactual fire voids where air loss and infiltration are conditions. most common. Water Vapor Transmission Properties: ASTM E96 data Compressive and Tensile Strength Technical Data 1.11@ 1" ThermoSeal 2000 has favorable compressive and Tensile strength properties Water Absorption for high density foam. Thermal Performance ThermoSeal 2000 is water repellent,will Thermal resistance(aged 180 days)R/in. not wick,and does not exhibit capillary ASTM D1623 Tensile Strength 80 psi ASTM C518: R6.62hr.ft2 OF/BTUproperties.Water cannot be forced into the ASTM D1621 Compressive Strength 35 psi foam under pressure because of its high Average insulation contribution in stud degree of closed cell structure Physical Characteristics wall: DIMENSIONAL STABILITY 2"x4"=R23 2"x6"=R36 Acoustical Properties ThermoSeal 2000 provides greater R value Performance in a 2"x 6"wood stud wall. ASTM D—2126 performance than other equivalent R value 1580 F 100% Relative Humidity,7 days insulation materials which are air ASTM E413 STC Sound Transmission Volume Change <8% permeable such as fiberglass.ThermoSeal TBD 2000 does not lose R value due to wind, ageing,convection,air infiltration or ASTM E 90 Class 33 Closed Cell Content moisture.An R value fact sheet is available ThermoSeal 2000 is considered closed cell upon request. Fungi Resistance foam insulation: ASTM G—21 ZERO RATING . DISCLAIMER:Information contained herein is,true and accurate,but all recommendations or suggestions are made without guarantee.Spray Foam Polymers,LI j;)FP)products are intended for sale to industrial and commercial customers.Since SFP exercises no control over its customers appreciation or use of the product manufactured by SFP and since materials used with the products may vary,it is understood that SFP can warrant only that our products will meet our written specifications.Nothing heroin shall constitute any warranty of merchantability or fitness,nor is protection from any law or patent to be inferred.ThermoSeal must be installed in accordance with all applicable building codes and a building inspector's approval should be requested prior to installation.All patent rights are reserved.SFP requests that customers inspect and test our products before use,and satisfy themselves as to contents and suitability.The exclusive remedy for all proven claims is replacement of our materials and in no event shall SFP be liable for any consequential,incidental,indirect,or special damages resulting in any manner from the furnishing of the material. gnermoSeaC 2000—Product Specification ASTM D2856 >=90% Viscosity &Weil ASTM D2196 Viscosity A Side ISO @ 700 F 215±35 B Side Resin @ 700 F 700±100 d ASTM D1475 Weight/Gallon Spr k ers A Side ISO @ 770F 10.21bs `` B Side Resin @ 770F 9.8lbs PO Box 1182 New Canaan, CT. 06840 Mixing Ratio By Volume Phone&Fax: 800.853.1577 ThermoSeal 2000 is a standard 1:1 mix http:///www.SprayFoamPolymers.com product. Slightly off ratio can produce slightly heavier odors and foam characteristics.Typically a heavier A ratio will produce a crunchier foam result,and a heavier B Side ratio will produce a spongier result. Electrical Wiring ThermoSeal 2000 is chemically compatible Suggested Preparation &Use with all 14/3, 12/2 and other similarly ThermoSeal 2000 will perform best when coated electrical wirings.For knob and tube gradually climate controlled to 77°F the wiring please seek the approval of your night before application.While Product Storage local building inspector. recirculation of ThermoSeal 2000 without heat prior to each days spraying is Component A-550 lbs of Isocynate stored suggested,recirculation of ThermoSeal in a a 55 gallon container outlined above. Bacterial and Fungal Evaluation 2000 in order to rapidly heat the product is Component` e must 1 must useless.less.tected from ThermoSeal 2000 is not a source of food not is not suggested and may result in a freezing or dee for mold, insects or rodents.It has no decrease in catalyst count and product nutritional value.ThermoSeal 2000 reduces yield.We suggest starting with a Component B-500 Ibs of ThermoSeal 2000 the introduction of moisture,food,and temperature of 1257 and a working proprietary formulated resin Component mold spores into the building envelope pressure of 1000 psi. `B'must be stored between 55°F and 80°F significantly more than traditional never exceeding either extreme. insulation such as fiberglass,cellulose and other non-sealants which do not provide an Both components temperatures should be at air barrier. Product Availability 75°F prior to mixing and use.. Contact Spray Foam Polymers at WARRANTY Environment/Health/Safety 1.800.853.1577 for sales and availability When installed properly be a Spray Foam ThermoSeal 2000 contains no CFC's options. Polymers authorized representative who has HCFC's,formaldehyde,or volatile organic completed all training offered by SFP,SFP compounds.Following installation there Packaging warrants that the product will meet all will be a 24-48 hour occupancy window Products are shipped in 55 gallon open top product specifications outlined in this before the odors,emissions and gasses have steel drums.At the customers request the, specification document. dissipated to a habitable level for products may be shipped in 55 gallons open individuals highly sensitive to the materials top semi-clear plastic resin drums. installed. ThermoSeal 2000 is is not to be installed within 2"of heat emitting surfaces where heat dissipated exceeds 185T. Y, DISCLAIMER:information contained herein is,true and accurate,but all recommendations or suggestions are made without guarantee.Spray Foam Polymers,LLC(SFP)products are intended for sale to industrial and commercial customers.Since SFP exercises no control over its customers appreciation or use of the product manufactured by SFP and since materials used with the products may vary,it is understood that SFP can warrant only that our products will meet our written specifications.Nothing herein shall constitute any warranty of merchantability or fitness,nor is protection from any law or patent to be inferred.Thermoses] must be installed in accordance with all applicable building codes and a building inspector's approval should be requested prior to installation.All patent rights are reserved.SFP requests that customers inspect and test our products before use,and satisfy themselves as to contents and suitability.The exclusive remedy for all proven claims is replacement of our materials and in no event shall SFP be liable for any consequential,incidental,indirect,or special damages resulting in any manner from the furnishing of the material. TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION Map Parcel' �d7 Application # c�;b-:_ Health Division Date Issued CIO Conservation'Division Application Fee Planning Dept. _ Permit Fee 46 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis _ p Project Street Address iZ`t er— Village Owner o Rt g, _Address L: pier" i` Q Telephone ll Permit Request Tv c. Q I."Q 1.7 Square feet: 1 st floor: existing—proposed 2_nd floor: existing—proposed Total new C q g p p g p p ota e Zoning District Flood Plain _Groundwater Overlay Project Valuation 47 00 Construction Type _ Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family IX Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl XWalkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: JXGas ❑ Oil ❑ Electric ❑ Other Central Air: MYes ❑ No Fireplaces: Existing__New Existing wood%coal stove❑Y5 ❑ No �-.' Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: O'existing Crnew ptsize_ Attached garage: ❑ existing ❑ new size Shed: ❑ existing ❑ new size _ Other: � � Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ =� Nrn Commercial ❑Yes ❑ No . If yes, site plan review# Current Use Proposed Use. _- - -- - -- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name / I" _ Telephone Number To Address _S��O �� ✓�;;ce t e �[S (/�` License# 2�3 _ Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO__ �-��5 �� SIGNATURE _77 DATE Lto j Z .t L FOR OFFICIAL USE ONLY APPLICATION# ,DATE,ISSUED ,.MAP-/PARCEL NO_._< a • Y ADDRESS VILLAGE OWNER k DATE OF INSPECTION: i FOUNDATION i FRAME A-11 c 2m ' INSULATION, flll�i. s` f �fz jja FIREPLACE f ELECTRICAL: ROUGH FINAL } PLUMBING: ROUGH FINAL GAS:-= c, ROUGH FINAL FINAL BUILDING" N DATE CLOSED OUT ASSOCIATION PLAN NO. a G ti ,r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): ,T, (—e-e yt*q Address: S Co " 1 A)\c66t�a t � City/State/Zip: cc Phone#: c::�a 6' S��(' G Gci� Are you an employer?Check th appropriate box: Type of project(required): 1.�0 I am a employer with 9 — 4. ❑ 1 am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. P<Remodeling shipand have no employees . These sub-contractors have. 8. ❑Demolition working for me in.any capacity. employees and have workers' insurance. 9. ❑Building addition comp. [No workers' comp. insurance required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I LE]Plumbing repairs or additions - -- - - - —ri t-of exem tion'- er-MGL - --_.. ------ P P 12.❑Roof repairs ---- ----- -- -- insurance required.] t c. 152, §1(4),and we have no employees. [No workers' . 13.❑ Other comp-.insurance required.]—:--. *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify undgr the ri' nd penalties of perjury that the information provided above is true and correct Si ature: Date: Ito ! -Z,- Phone#: � � S Y !< G. Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ACOO® CERTIFICATE OF LIABILITY INSURANCEF849/2011°ATE'MMI°°""„' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER CONTACT NAME: Eastern Insurance Group LLC - Main PHONEIAI 508-6 1-770 NC No:5 - 5 -80 89 233 West Central Street E-MAIL Natick MA 01760 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A INSURED 35716 INSURER B;Peerless insCo41 RJ Franey Mechanical Services Inc INSURERC`. 56A Nlcoletta's Way INSURERD: Mashpee MA 02649 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:361751040 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR INSR WVD POLICY NUMBER MMIDD/YYYY MMIDDIYYYY LIMITS A GENERAL LIABILITY CBP8768941 3/22/2011 /22/2012 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE PREMISESS(RENTED Ea occurrence) $100,000 CLAIMS-MADE a OCCUR - MED EXP(Any one person) $5,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $2,000,000 POLICY1-1 Ll PRO- LOC $ " AUTOMOBILE LIABILITY UOMbINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS PROPERTY DAMAGE HIRED AUTOS AUTOS N ED (Par accident) $ AUTOS - ' UMBRELLA LIAR OCCUR EACH OCCURRENCE - $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ ! DED RETENTION$ - $ B WORKERS COMPENSATION KC8629736 3/22/2011 /22/2012 WCSTATU- OTH- AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1000000 OFFICER/MEMBER EXCLUDED? � N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $1000000 If yes,describe under DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) For all addresses in the Town of Barnstable l • I • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. I Regulatory Services j Attn: Thomas F. Geiler, Director - Bldg. AUTHORIZED REPRESENTATIVE Div j ( Hyannis MA 02601 I Y ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1 I I — T T ti Town-of Barnstable Regulatory Services F �g Thomas F.Geiler,Director Building RIM*10n Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.tawn.b arnstabt e:ma.us Office: 508-862-4038 Fax: 508-79M230 Property Owner Must' - Complete and Sign This Section Tf Using A Builder as Owner of the subject property l�reby autho to act on mybehalf, for- m all utters"relative to work authorized by this budding pe application : , (Address of Job) Signature of yOwner D to G�W Priest Name e If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWh UERMLSSIDN r ' Town of Barnstable ` IKiE ray o Regulatory Services Thomas F.Geiler,Director MASS �� Building Division Tom Perry,Building Commissioner 200 Main-Sfreef,_Ayannis,MA_02501 wwFvAo wn.b xrnst2.b l q_ma_us Office: 508-862-403 8 Fax: 508-790-6230 a; HOl!MOW� LICENSE EXEIviPTION Please Print DATE JOB.LOCATION: number - - street village "HOMEOWNER': name home phone# work phone# CURRENT)4A LING ADDRFSS: eityhnwn state zip code The current exemption for"homeowners"was extended to include dwne=occupied d�vellintrs-.of six units or less and to allow homeowners to engage an individual for hire.wha does not possess a license,provided that the owner acts as supervisor. , ; _ :' DE>iMMON Og H6mEownT_x Persons)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to- be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than-one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on,a form acceptable.to the Building-Official, that he/she shall be responsible for all such work performed imp the b bdiaa yermit: (Section I09.1.1)' ' The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies thathe/she understands the Town of Barnstable Building Department m mimnm inspection procedures and.rrquirements and that he/she will comply with said procedures and re pirements. - °a . . 4 r }•-, Signature of Homeowner t r 1 Approval of Building Official `t Note: Three-family dwellings containing 35,000 cubic feet or larger v;U be required to comply with the State Building Code Section 127.0 Construction Control. HORMOVINER'S EXEMPTION The Code states that "Any homeow cr performing work for which a building permit is requir cd shaD be exempt:&om the provisions of this scc6pn,(Scc66n 1D9.1.1 -Licensing of ccrost-uction Supcnrisors);provided that if the homco�vner engage a pason(s)for hire to do such work,that such Homeowner shall ad as supervisor." Many homeowners who use this rxcmptian arc unawarz that they are assuming the responsibrliScs of a rtperviscir(sec Appendix Q. Rules&Regulations for Licensing Comstructian Supervisors,Section 2.157 This.lack of awareness bften results in serious problems,particularly when the homeowner hires unlic=ed persons. In.this case,our Board cannot procccd against the unlicensed person as it would with a lioenscd Supervisor. The homeowner acting as Supavisotis ultimatelyresportmOr. To ens=that the hammwmcr is fn awanc of his/her respwmbilities,many communities require,as pars of the permit application, that the homeowner certify that hrJshc understands tare respmmbtli6rs of a Supervisor. 0n.the last page of this issue is a farm currently used by several tmvns. You may care t amerrd and adopt such a formlcertificaEon for use in your comnumity. Q:forms:homcra:cmpt SKEET METAL WORKERS: A"?'_A MASTER-UNRESTRICTEI:) ISSUES THE ABOVE LICENSE TO: ' P0 B E".R f. J FRANE.Y 1O0. AL.DERBR00K LN a W. EARN.STA,1_E MA 02.GG8'— i '1G 2263 05/28/12 87186, rf OOMMONWEALTK OF MASSACHUSEET S SHEET METAL 'V�1O KERS AS.`A BUSINESS ISSUES THE ABOVE LICENSE T Oo ROBERT`-J FRANEY ,. R .J .FRANEY MECHANICAL ' SERVICE 56=A NICOLETTAS WAY MASHPEE MA 02649-0,000 62 09/20/12 9,70038Willa - , a ' Date:t F d Sho rt-�+- wrightsoft' Date: Feb 10,2012 Entire House By: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-A Nicoletta's Way,Mashpee,MA 02649 Phcne.,"8€539 8668>Fax:508-539-8665 Email:rjfraney@comcast.net Web:www.rjfraney.com License:2263 Project Information For: Grover Building- Lechner residence 38 little river road, cotuit -Design Information Htg Clg Infiltration Outside db (OF) 14 82 Method Simplified Inside db (OF) 70 74 Construction quality Average Design TD (OF) 56 8 Fireplaces 1 (Average) Daily range - L Inside humidity (%) 47 50 Moisture difference(gr/lb) 108 39 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a su-JQNs 6a 1yz 9 24 Make we, (Z) 'Fst). - fired o dam d l$ Trade n/a Trade PE& Model n/a Cond a/a �a� U,U`C-o Z.ti 3 0 AHRI ref non/a Coil aLa AHRI ref non/a Efficiency aia. y$� Efficiency n/a Heating input gyaoo Sensible cooling 2goea 0 Btuh Heating output 2717e0 — 7S,2e6 '& Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling zy000 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 ROOM NAME Area Htg load Clg load HtgAVF CIgAVF (ft2) (Btuh) (Btuh) (cfm) (cfm) AH2 d 1746 16933 11247 601 601 AH 1 d 1062 14085 15144 810 810 �Enfirerftusm d 2808 31018 26391 1411 1445 Other q Ip loads 0 0 Equip. @ 0.87 RSM 22960 Latent cooling 0 TOTALS 2808 C22960 1411 1445 Calculations approved by ACCA to meet all requirements of Manual J 7th Ed. htSOW wrii 9 Right-Suite®Universal 8.0.18 RSU01970 2012-Feb-1011:18:04 ,CCA Projectl.rup Calc=MR Front Door faces: W Page 1 r 9 Load Short Form Job: wrl htsoft Date: Feb 10,2012 AH 1 By: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-AN icolett a's Way,Mashpee,MA 02649 Phone:508-539-8668 Fax:508-539-8665 Email:rjfraney@comcast.net Web:www.rjfraney.com License:2263 -----Project Information For: Grover Building- Lechner residence 38 little river road, cotuit Cl6sign Information Htg Clg Infiltration Outside db (OF) 14 82 Method Simplified Inside db (OF) 70 75 Construction quality Average Design TD (OF) 56 7 Fireplaces 1 (Average) Daily range - L Inside humidity (%) 50 50 Moisture difference(gr/lb) 80 37 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Trade Trade Model Cond AHRI ref no. Coil AHRI ref no. Efficiency Efficiency' 0 SEER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 810 cfm Actual air flow - 810 cfm Air flow factor 0.057 cfm/Btuh Air flow factor 0.053 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 1.00 ROOM NAME Area Htg load Clg load. Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) zone1 p 728 9716 13172 559 704 Zone2 p 334 4369 2601 251 139 M—M d 1062 14085 15144 810 810 Other equip loads 0 0 Equip. @ 0.87 RSM 13175 Latent cooling 0 TOTALS 1062 , 44095P 431-75� 810 810 Calculations.approved by ACCA to meet all requirements of Manual J 7th Ed. 2012-Feb-10 11:18:04 ..► - wrightsoftt Right-Suite®Universal 8.0.18 RSU01970 Page 2 /ICCIi Projecil.rup Calc=MJ7 Front Door faces: W Load Short Form Job: Wr1911t50ft Date: Feb 10,2012 AH2 By: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-A Nicoletta's Way,Mashpee,MA 02649 Phone:508-539-8668 Fax:508-539-8665 Email:rjfraney@comcast.net Web:www.rjfraney.com License:2263 Project • • For: Grover Building- Lechner residence 38 little river road, cotuit D- • n:Information Htg Clg Infiltration Outside db(OF) 14 82 Method Simplified Inside db (OF) 70 73 Construction quality Average Design TD (OF) 56 9 Fireplaces 1 (Average) Daily range - L Inside humidity (%) 43 50 ' Moisture difference(gr/lb) 55 41 HEATING EQUIPMENT COOLING EQUIPMENT Make Make Trade Trade Model Cond AHRI ref no. Coil AHRI ref no. Efficiency 80AFUE Efficiency 0 SEER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 10 OF Total cooling 0 Btuh Actual air flow 601 cfm Actual air flow 601 cfm Air flow factor 0.036 cfm/Btuh Air flow factor 0.053 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 1.00 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) zone 2 p 602 5417 2924 192 156 Zone 1 p 572 4776 4506 170 241 zone 3 p '572 6739 3817 239 204 OEM d 1746 16933 11247 601 601 Other equip loads 0 0 Equip. @ 0.87 RSM 9785 Latent cooling 0 TOTALS 1746 46933� 97 601 601 Calculations approved by ACCA to meet all requirements of Manual J 7th Ed. 2012-Feb-10 11:18:04 wrightSOW Right-Sufte®Universal 8.0.18 RSU01970 Page 3 )CCIN, Projectl.rup Calc=MR Front.Door faces: W Load Short Form Job: WrI J11t50ft Date: Feb 10,2012 Zone 1 By: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-A Nicoletta's Way,Mashpee,MA 02649 Phone:508-539-8668 Fax:508-539-8665 Email:rjfraney@comcast.net Web:www.r#raney.com License:2263 Project , • • For: Grover Building - Lechner residence 38 little river road, cotuit - -----Design • • Htg Clg Infiltration Outside db (OF) 14 82 Method Simplified Inside db(OF) 70 75 Construction quality Average Design TD (OF) 56 7 Fireplaces 1 (Average) Daily range - L Inside humidity (%) 50 50 Moisture difference(gr/lb) 46 37 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref non/a Coil n/a AHRI ref non/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Dining/living 572 4776 4506 170 2C4"'17) Zone 1 p 572 4776 4506 170 241 Other equip loads 0 0 Equip. @ 0.87 RSM 3920 Latent cooling 0 TOTALS 572 4776 3920 170 241 Calculations approved by ACCA to meet all requirements of Manual J 7th Ed. 2012-Feb-10 11:18:04 .� - wrightsoft" Right-Suite®Universal 8.0.18 RSU01970 Page 4 �� Projectt.rup Calc=MJ7 Front Door faces: W S- i 1 Load Short Form Job: wri Pubsoft Date: Feb 10,2012 zone 2 BY: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-A Nicoletta's Way,Mashpee, MA 02649 Phone:508-539-8668 Fax:508-539-8665 Email:rjfraney@comcast.net Web:www.rjfraney.com License:2263 Project • • For: Grover Building - Lechner residence 38 little river road, cotuit Design Information Htg CIg Infiltration Outside db (OF) 14 82 Method Simplified Inside db (OF) 70 75 Construction quality Average Design TD (OF) 56 7 Fireplaces 1 (Average) Daily range - L Inside humidity (%) 50 50 Moisture difference(gr/lb) 46 37 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref non/a Coil n/a AHRI ref non/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 ROOM NAME Area Htg load Clg load Htg AVF CIgAVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Office 156 1664 1433 59 77 Crawlspace 160 1355 0 48 0 TV Room 156 1653 1491 59 80 Laundry 100 573 0 20 0 Mechanical 30 172 0 6 0 zone 2 p 602 5417 2924 192 156 Other equip loads 0 0 Equip. @ 0.87 RSM 2544 Latent cooling 0 TOTALS 602 5417 2544 192 156 Calculations approved by ACCA to meet all requirements of Manual J 7th Ed. .+ wri htsoft° 2012-Feb-1011:18:04 g Right-Suite®Universal 8.0.18 RSU01970 Page 5 ACCA Projectl.rup Calc=MJ7 Front Door faces: W Load Short Form Job: wrightsoft Date: Feb 10,2012 zone 3 By: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-AN icoletta's Way,Mashpee,MA 02649 Phone:508-539-8668 Fax:508-539-8665 Email:rjfraney@comcast.net Web:www.rgraney.com License:2263 Project • • For: Grover Building - Lechner residence 38 little river road, cotuit Design Information Htg Cig Infiltration Outside db(OF) 14 82 Method Simplified Inside db(OF) 70 70 Construction quality Average Design TD (OF) 56 12 Fireplaces 1 (Average) Daily range - L Inside humidity (%) 30 50 Moisture difference(gr/lb) 24 48 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref non/a Coil n/a AHRI ref non7a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Bedroom 1 308 3682 1991 131 106 Bedroom 2 264 3057 1827 109 98 zone 3 p 572 6739 3817 239 204 Other equip loads 0 0 Equip. @ 0.87 RSM 3321 Latent cooling 0 TOTALS 572 6739 3321 239 204 Calculations approved by ACCA to meet all requirements of Manual J 7th Ed. 2012-Feb-10 11:18:04 ' " wrightsoft" Right-Suite®Universal 8.0.18 RSU01970 Page 6 ACCA Project1.rup Calc=MJ7 Front Door faces: W Load Short Form wrightsoft°' Date: Feb 10,2012 zone 1 By: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-AN icoletta's Way,Mash pee,MA 02649 Phone:508-539-8668 Fax:508-539-8665 Email:rjfraney@comcast.net Web:www.rjfraney.com License:2263 Project Inform-a-tion For: Grover Building- Lechner residence 38 little river road, cotuit Design, • • Htg Clg Infiltration Outside db (OF) 14 82 Method Simplified Inside db (OF) 70 75 Construction quality Average Design TD (OF) 56 7 Fireplaces 1 (Average) Daily range - L Inside humidity (%) 50 50 Moisture difference(gr/lb) 46 37 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref non/a Coil n/a AHRI ref non/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) Family room 364 6141 9322 353 498 Eating 364 3575 3850 206 206 zone1 p 728 9716 13172 559 704 Other equip loads 0 0 Equip. @ 0.87 RSM 11459 Latent cooling 0 TOTALS 728 9716 11459 559 704 Calculations approved by ACCA to meet all requirements of Manual J 7th Ed. wri htsoftW 2012-Feb-1011:18:04 u+r� g Right-Suite®Universal 8.0.18 RSU01970 Page 7 ACCA Projectl.rup Calc=MJ7 Front Door faces: W Load Short Form Job: - - wrightsoft$ Date: Feb 10,2012 Zone2 By: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-A Nicoletta's Way,Mashpee,MA 02649 Phone:508-539-8668 Fax:508-539-8665 Email:rjfraney@comcast.net Web:www.rjfraney.com License:2263 Project InfiIiihiation For: Grover Building- Lechner residence 38 little river road, cotuit Design Information Htg Clg Infiltration Outside db(OF) 14 82 Method Simplified Inside db (OF) 70 75 Construction quality Average Design TD (OF) 56 7 Fireplaces 1 (Average) Daily range - L Inside humidity (%) 50 50 Moisture difference(gr/lb) 46 37 HEATING EQUIPMENT COOLING EQUIPMENT Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref non/a Coil n/a AHRI ref non/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 ROOM NAME Area Htg load Clg load Htg AVF Clg AVF (ft2) (Btuh) (Btuh) (cfm) (cfm) bedroom 3 169 2964 2601 170 139 bath 120 687 0 40 0 hall 45 718 0 41 0 Zone2 p .334 4369 2601 251 139 Other equip loads 0 0 Equip. @ 0.87 RSM 2263 Latent cooling 0 TOTALS 334 4369 2263 251 1 139 Calculations approved by ACCA to meet all requirements of Manual J 7th Ed. wri htsoft" 2012-Feb-1011:18:04 9 Right-Suite®Universal 8.0.18 RSU01970 Page e 8 ACCK Projectt.rup calc-MJ7 Front Door faces: W Project Summary Job: - wrightsoft� Date: Feb 10,2012 Entire House By: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-A Nicoletta's Way,Mashpee,MA 02649 Phcne:508-539-8668 Fax:508-539-8665 Email:rjfraney@comcast.net Web:www.roraney.com License:2263 Project • • For: Grover Building- Lechner residence 38 little river road, cotuit Notes: Design Information Weather: East Falmouth, Otis Angb, MA, US Winter Design Conditions Summer Design Conditions Outside db 14 OF Outside db 82 OF Inside db 70 OF Inside db 74 OF Design TD 56 OF Design TD 8 OF Daily range L Relative humidity 50 % Moisture difference 39 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 31018 Btuh Structure 26391 Btuh Ducts 0 Btuh Ducts 0 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 31018 Btuh Use manufacturer's data n Rate/swing multiplier 0.87 Infiltration Equipment sensible load 22960 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality . Average Fireplaces 1 (Average) Structure 0 Btuh Ducts 0 Btuh Heating Coolingg Central vent (0 cfm) 0 Btuh Area(ft' 2808 2808 Equipment latent load 0 Btuh Volume k 0 0 Air changes/hour 0.90 0.40 Equipment total load 22960 Btuh Equiv.AVF (cfm) 0 0 Req. total capacity at 0.70 SHR 2.7 ton Heating Equipment Summary Cooling Equipment Summary Make n/a Make n/a Trade n/a Trade n/a. Model n/a Cond n/a AHRI ref non/a Coil n/a AHRI ref non/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output. 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 10 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 Calculations approved by ACCA to meet all requirements of Manual J 7th Ed. .� " wrightsoft' Right-Suite®Universal 8.0.18 RSU01970 2012-Feb-10 11:18:04 Page 1 ACCK Projectt.rup Calc=MJ7 Front Door faces: W 9 m wri htsoft Project Summary ry Date: Feb 10,2012 AH 1 By: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-A Nicoletta's Way,Mashpee,MA 02649 Phone:508-539-8668 Fax:508-539-8665 Email:rjfraney@comcast.net Web:www.rjfraney.com License:2263 Proiect Information For: Grover Building - Lechner residence 38 little river road, cotuit Notes: Design,Information Weather: East Falmouth, Otis Angb, MA, US Winter Design Conditions Summer Design Conditions Outside db 14 OF Outside db 82 °F Inside db 70 OF Inside db 75 °F Design TD 56 OF Design TD 7 OF Daily range L Relative humidity 50 % Moisture difference 37 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 14085 Btuh Structure 15144 Btuh Ducts 0 Btuh Ducts 0 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 14085 Btuh Use manufacturer's data n Rate/swing multiplier 0.87 Infiltration Equipment sensible load 13175 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 (Average) Structure 0 Btuh Ducts 0 Btuh Heating Coolingg Central vent (0 cfm) 0 Btuh Area (ft2 1062 1062 Equipment latent load 0 Btuh Volume?ft-) 0 0 Air changes/hour 0 0 Equipment total load 13175 Btuh Equiv.AVF (cfm) 0 0 Req.total capacity at 0.70 SHR 1.6 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond AHRI ref no. Coil AHRI ref no. Efficiency 80AFUE Efficiency 0 SEER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output. 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 810 cfm Actual air flow 810 cfm Air flow factor .0.057 cfm/Btuh Air flow factor 0.053 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 1.00 Calculations approved by ACCA to meet all requirements of Manual J 7th Ed. . � wrightsoft` Right-Suite®Universal 8.0.18 RSU01970 2012-Feb-10 11 a � Page Page 2 ACCA Projectl.rup Calc=MJ7 Front Door faces: W 9 - Project Summary Date:wri htsoft 1 •� Date: Feb 10,2012 AH2 By: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-A Nicoletta's Way,Mashpee,MA 02649 Phcne:508-539-8668 Fax:508-539-8665 Email:ryraney@comcast.net Web:www.rjfraney.com License:2263 P • - • • For: Grover Building- Lechner residence 38 little river road, cotuit Notes: Desion Information Weather: East Falmouth, Otis Angb, MA, US Winter Design Conditions Summer Design Conditions Outside db 14 OF Outside db 82 OF Inside db 70 OF Inside db 73 OF Design TD 56 OF Design TD 9 OF Daily range L Relative humidity 50 % Moisture difference 41 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 16933 Btuh Structure 11247 Btuh Ducts 0 Btuh Ducts 0 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 16933 Btuh Use manufacturer's data n Rate/swing multiplier 0.87 Infiltration Equipment sensible load 9785 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 (Average) Structure 0 Btuh Ducts 0 Btuh Heating Cooling Central vent (0 cfm) 0 Btuh Area(ftZ L 1746 1746 Equipment latent load 0 Btuh Volume k 0 0 Air changes/hour 0 0 Equipment total load 9785 Btuh Equiv.AVF (cfm) 0 0 Req. total capacity at 0.70 SHR 1.2 ton Heating Equipment Summary Cooling Equipment Summary Make Make Trade Trade Model Cond AHRI ref no. Coil AHRI ref no. Efficiency 80AFUE Efficiency 0 SEER Heating input 0 Btuh Sensible cooling 0 Btuh Heating output. 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 601 cfm Actual air flow 601 cfm Air flow factor 0.036 cfm/Btuh Air flow factor 0.053 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat Load sensible heat ratio 1.00 Calculations approved by ACCA to meet all requirements of Manual J 7th Ed. -�- wrightsoftm Right-Suite®Universal 8.0.18 RSU01970 2012-Feb 10 11:1 Page 3 �- Page 3 .M:C*k, Projectl.rup Calc=MJ7 Front Door faces: W W rl9f 1tSOft- Project Summary Job: Date: Feb 10,2012 Zone 1 By: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-ANicoletta's Way,Mashpee,MA 02649 Phone:508-539-8668 Fax:508-539-8665 Email:rjfraney@comcast.net Web:www.rjfraney.com License:2263 Project • • For: Grover Building- Lechner residence 38 little river road, cotuit Notes: DesiAnInformation Weather: East Falmouth, Otis Angb, MA, US Winter Design Conditions Summer Design Conditions Outside db 14 OF Outside db 82 OF Inside db 70 OF Inside db 75 OF Design TD 56 OF Design TD 7 OF Daily range L Relative humidity 50 % Moisture difference 37 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 4776 Btuh Structure 4506 Btuh Ducts 0 Btuh Ducts 0 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 4776 Btuh Use manufacturer's data n Rate/swing multiplier 0.87 Infiltration Equipment sensible load 3920 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 (Average) Structure 0 Btuh Ducts 0 Btuh Heating Cooling Central vent (0 cfm) 0 Btuh Area(ftz 572 572 Equipment latent load 0 Btuh Volume k 0 0 Air changes/hour 0 0 Equipment total load 3920 Btuh Equiv.AVF (cfm) 0 .0 Req. total capacity at 0.70 SHR 0.5 ton Heating Equipment Summary Cooling Equipment Summary Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref non/a Coil n/a AHRI ref non/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling- 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0 cfm/Btuh ` Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 Calculations approved by ACCA to meet all requirements of Manual J 7th Ed. .` WI'1 htsoft° 2012-Feb-1011:18:04 9 Right-Suite®Universal 8.0.18 RSU01970 Page 4 ACCK Projectl.rup Calc=MJ7 Front Door faces: W WI'19f1tSOft' Project Summary Job: Date: Feb 10,2012 zone 2 By: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-A Nicoletta's Way,Mashpee,MA 02649 Phcne:508-539-8668 Fax:508-539-8665 Email:rjfraney@comcast.net Web:www.roraney.com License:2263 Project • • For: Grover Building- Lechner residence 38 little river road, cotuit Notes: Design Information Weather: East Falmouth, Otis Angb, MA, US Winter Design Conditions Summer Design Conditions Outside db 14 OF Outside db 82 OF Inside db 70 OF Inside db 75 OF Design TD 56 °F Design TD 7 OF Daily range L Relative humidity 50 % Moisture difference 37 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 5417 Btuh Structure 2924 Btuh Ducts 0 Btuh Ducts 0 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 5417 Btuh Use manufacturer's data n Rate/swing multiplier 0.87 Infiltration Equipment sensible load 2544 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 (Average) Structure 0 Btuh Ducts 0 Btuh Heating coolingg ft2 602 602 Central vent (0 cfm) 0 Btuh Area( Equipment latent load 0 Btuh Volume�W) 0 .0 . Air changes/hour 0 0 Equipment total load 2544 Btuh Equiv.AVF (cfm) - 0 0 Req. total capacity at 0.70 SHR 0.3 ton Heating Equipment Summary Cooling Equipment Summary Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref non/a Coil n/a AH R I ref non/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 Calculations approved by ACCA to meet all requirements of Manual J 7th Ed. lwrightsoftm Right-Suite®Universal 8.0.18 RSU01970 2012-Feb-10 11:18:04 Page 5 ACC. Projectt.rup Calc=MJ7 Front Door faces: W 9 - Project Summary Date: Feb 10,2012 zone 3 By: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-A Nicoletta's Way,Mashpee,MA 02649 Phrne:508-539-8668 Fax:508-539-8665 Email:rjfraney@comcast.net Web:www.rflraney.com License:2263 Project • • For: Grover Building - Lechner residence 38 little river road, cotuit Notes: � - • Information Weather: East Falmouth, Otis Angb, MA, US Winter Design Conditions Summer Design Conditions Outside db 14 OF Outside db 82 OF Inside db 70 OF Inside db 70 OF Design TD 56 OF Design TD 12 OF Daily range L Relative humidity 50 % Moisture difference 48 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 6739 Btuh Structure 3817 Btuh Ducts 0 Btuh Ducts 0 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 6739 Btuh Use manufacturer's data n Rate/swing multiplier 0.87 Infiltration Equipment sensible load 3321 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 (Average) Structure 0 Btuh Ducts 0 Btuh Heating Cooling Central vent (0 cfm) 0 Btuh Area(ft' 572 572 Equipment latent load 0 Btuh Volume( ) 0 0 Air changes/hour 0 0 Equipment total load 3321 Btuh Equiv.AVF (cfm) 0 0 Req. total capacity at 0.70 SHR 0.4 ton Heating Equipment Summary Cooling Equipment Summary Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref non/a Coil n/a AHRI ref non/a Efficiency n/a _ Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0, cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 Calculations approved by'ACCA to meet all requirements of Manual J 7th Ed. WCI ht50ft" 2012-Feb-1011:18:04 9 Right-Suite®Universal 8.0.18 RSU01970 Page 6 ACC% Projectt.rup Calc=MJ7 Front Door faces: W - Pro ect Summary Job: wri9htsoft Date: Feb 10,2012 zone 1 By: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-ANicoletta's Way,Mashpee,MA 02649 Phcne:508-539-8668 Fax:508-539-8665 Email:rjfraney@comcast.net Web:www.rjfraney.com License:2263 Project • • For: Grover Building - Lechner residence 38 little river road, cotuit Notes: Design Information Weather: East Falmouth, Otis Angb, MA, US Winter Design Conditions Summer Design Conditions Outside db 14 OF Outside db 82 OF Inside db 70 OF Inside db 75 OF Design TD 56 OF Design TD 7 OF Daily range L Relative humidity 50 % Moisture difference 37 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 9716 Btuh Structure 12543 Btuh Ducts 0 Btuh Ducts 0 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 9716 Btuh Use manufacturer's data n Rate/swing multiplier 0.87 Infiltration Equipment sensible load 11459 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 (Average) Structure 0 Btuh Ducts 0 Btuh Heating Cooling Central vent (0 cfm) 0 Btuh Area(ft' 728 728 Equipment latent load 0 Btuh Volume k)ft') 0 0 Air changes/hour 0 0 . Equipment total load 11459 Btuh Equiv.AVF (cfm) 0 0 Req. total capacity at 0.70 SHR 1.4 ton Heating Equipment Summary Cooling Equipment Summary Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref non/a Coil n/a AHRI ref non/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output. 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0 cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 Calculations approved by ACCA to meet all requirements of Manual J 7th Ed. �.{_ 2012-Feb-10 11:18:04 _ I" 1 ' wri51hts0ft61 Right-Suite®Universal 8.0.18 RSU01970 Page 7 A+Ck Projectl.rup Calc=MJ7 Front Door faces: W Pro Job: ect Summa -�- wrightsoft- � � Date: Feb 10,2012 Zone2 By: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-A Nicoletta's Way,Mashpee,MA 02649 Phcne:508-539-8668 Fax:508-539-8665 Email:rjfraney@comcast.net Web:www.rjfraney.com License:2263 Project • 11 For: Grover Building- Lechner residence 38 little river road, cotuit Notes: Design Information Weather: . East Falmouth, Otis Angb, MA, US Winter Design Conditions Summer Design Conditions Outside db 14 OF Outside db 82 OF Inside db 70 OF Inside db 75 OF Design TD 56 OF Design TD 7 OF Daily range L Relative humidity 50 % Moisture difference 37 gr/lb Heating Summary Sensible Cooling Equipment Load Sizing Structure 4369 Btuh Structure 2601 Btuh Ducts • 0 Btuh Ducts 0 Btuh Central vent (0 cfm) 0 Btuh Central vent (0 cfm) 0 Btuh Humidification 0 Btuh Blower 0 Btuh Piping 0 Btuh Equipment load 4369 Btuh Use manufacturer's data n Rate/swing multiplier 0.87 Infiltration Equipment sensible load 2263 Btuh Method Simplified Latent Cooling Equipment Load Sizing Construction quality Average Fireplaces 1 (Average) Structure 0 Btuh Ducts 0 Btuh Heating Cooling Central vent (0 cfm) 0 Btuh Area (ft2 334 334 Equipment latent load 0 Btuh Volume�ft3) 0 0 Air changes/hour 0 0 Equipment total load 2263 Btuh Equiv.AVF (cfm) 0 0 Req. total capacity at 0.70 SHR 0.3 ton Heating Equipment Summary Cooling Equipment Summary Make n/a Make n/a Trade n/a Trade n/a Model n/a Cond n/a AHRI ref non/a Coil n/a AHRI ref non/a Efficiency n/a Efficiency n/a Heating input Sensible cooling 0 Btuh Heating output 0 Btuh Latent cooling 0 Btuh Temperature rise 0 OF Total cooling 0 Btuh Actual air flow 0 cfm Actual air flow 0 cfm Air flow factor 0- cfm/Btuh Air flow factor 0 cfm/Btuh Static pressure 0 in H2O Static pressure 0 in H2O Space thermostat n/a Load sensible heat ratio 0 Calculations approved by ACCA to meet all requirements of Manual J 7th Ed. 2012-Feb-10 11:18:04 "9" wrightsoft" Right-Suite®Universal 8.0.18 RSU01970 Page 8 ACCA Project1.rup Calc=MJ7 Front Door faces: W N Basement bedroom 3 �7o cFK1 bath q0 CP'4 half yl GFNq Mech nica)10 Laundry -La c F1AA TV Room $O G I:OA Crawlspace v c.F►M Office CFM Job#: R.J. cale: 1 : 82 Performed for: . Franey Mechanical Services, I... page 1 Grover Building-Lechnerresidence 56 -A Nicoletta's Way Right-Suite®Universal 38little river road Mashpee, MA 02649 8.0.18 RSU01970 cotuit Phone: 508-539-8668 Fax: 508-539-8665 2012-Feb-1011:18:33 vww..rjfraney.com rjfraney@comcast.net Project1.rup • N First Floor Eating \— Family room -16` c F M 3F3 C F"I Dining/living 2 L{t e Job#: R.J. Franey Mechanical Services, I... Scale: 1 : 82 Performed for: Page 2 Grover Building-Lechner residence 56-A Nicoletta's Way Right-Suite®Universal 38 little river road Mashpee, MA 02649 8.0.18 RSU01970 cotuit Phone: 508-539-8668 Fax: 508-539-8665 2012-Feb-1011:18:33 www.ofraney.com Ofraney@comcast.net Project1sup t� N second floor Bedroom 1 1TCF�^'I Bedroom 2 �09 cFw� Job#: R.J. Franey Mechanical Services, I... Scale: 1 : 82 Performed for: Page 3 Grover Building-Lechnerresidence 56 -A Nicoletta's Way Right-Suite®Universal 38 little river road Mashpee, MA 02649 8.0.18 RSU01970 cotuit Phone: 508-539-8668 Fax: 508-539-8665 2012-Feb-10 11:18:33 vww.ofraney.com rjfraney@comcast.net Projectl.rup Duct System Summary Job: + - wrightsoft� Dater Feb 10,2012 AH 1 By: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-A Nicoletta's Way,Mashpee,MA 02649 Phone:508-539-8668 Fax:508-539-8665 Email:rjfraney@comcast.net Web:www.rjfraney.com License:2263 Project Information For: Grover Building- Lechner residence 38 little river road, cotuit Heating Cooling External static pressure 0 in H2O 0 in H2O Pressure losses 0 in H2O 0 in H2O Available static pressure 0 in H2O 0 in H2O Supply / return available pressure 0.00/ 0.00 in H2O 0.00/ 0.00 in H2O Lowest friction rate 0 in/100ft 0 in/100ft Actual air flow 810 cfm 810 cfm Total effective length (TEL) 0 ft Supply BranchDetail Table--- Design Htg Clg Design Diam H x W Duct Actual Ftg.Egv Name (Btuh) (cfm) (cfm) FIR (in) (in) Matl Ln (ft) Ln (ft) Trunk Eating c 3850 206 206 0 0 Ox0 ShMt 0 0 Family room c 3107 118 166 0 0 Ox0 ShMt 0 0 Family room-A c 3107 118 166 0 0 OxO ShMt 0 0 Family room-a c 3107 118 166 0 0 Ox0 ShMt 0 0 bath h 0 40 0 0 0 Ox0 ShMt 0 0 bedroom 3 h 2601 170 139 0 0 Ox0 ShMt 0 0 hall h 0 41 0 0 0 Ox0 ShMt 0 0 1 • Grill Htg Clg TEL Design Veloc Diam H x W Stud/Joist Duct Name Size (in) (cfm) (cfm) (ft) FIR (fpm) (in) (in) Opening (in) Matl Trunk rb19 Ox0 810 843 0 0 0 0 Ox 0 ShMt 2012-Feb-10 11:18:04 i wrightsoft• Right-Suite®Universal 8.0.18 RSU01970 Page 1 )iM Projectl.rup Calc=MJ7 Front Door faces: W w Duct System Summary Job: - - wrightsoft, Date: Feb 10,2012 AH2 By: R.J. Franey Mechanical Services, Inc. Plan: 1016 56-A Nicoletta's Way,Mashpee,MA 02649 Phone:508-539-8668 Fax:508-539-8665 Email:rjfraney@comcast.net Web:www.rjfraney.com License:2263 Project • • For: Grover Building- Lechner residence 38 little river road, cotuit Heating Cooling External static pressure 0 in H2O 0 in H2O Pressure losses 0 in H2O 0 in H2O Available static pressure 0 in H2O 0 in H2O Supply/ return available pressure 0.00/0.00 in H2O 0.00/ 0.00 in H2O Lowest friction rate 0 in/100ft 0 in/100ft Actual air flow 601 cfm 601 cfm Total effective length (TEL) 0 ft SupplyDetail Table Design Htg Clg Design Diam H x W Duct Actual Ftg.Egv Name (Btuh) (cfm) (cfm) FIR (in) (in) Matl Ln (ft) Ln (ft) Trunk Bedroom 1 h 1991 131 106 0 0 Ox0 ShMt 0 0 Bedroom 2 h 1827 109 98 0 0 Ox0 ShMt 0 0 Crawlspace h 0 48 0 0 0 OxO ShMt 0 0 Dining/living c 2253 85 120 0 0 Ox0 ShMt 0 0 Dining/living-A c 2253 85 120 0 0 Ox0 ShMt 0 0 Laundry h 0 20 0 0 0 Ox0 ShMt 0 0 Mechanical h 0 6 0 0 0 Ox0 ShMt 0 0 Office c 1433 59 77 0 0 Ox0 ShMt 0 0 Tv Room c 1491 59 80 0 0 OXO ShMt 0 0 • Grill Htg Clg TEL Design Veloc Diam H x W Stud/Joist Duct Name Size(in) (cfm) (cfm) (ft) FIR (fpm) (in) (in) Opening (in) Matl Trunk rb18 OXO 601 601 0 0 0 0 Ox 0 ShMt wri htSOft• 2012-Feb 10 11:age 2 9 Right-Suite®Universal8.0.18 RSU01970 Page 2 9 ACCA Projectl.rup Calc=MJ7 Front Door faces: W _ i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map' t.` SS Parcel 607- -'Application # o20 L.c430 Health Division "' Date Issued Conservation Division =.Application Fee-- p6 Planning Dept. Permit Fee' �C V`ti Date Definitive Plan Approved by Planning Board _ V Historic OKH _ Preservation / Hyannis Project Street Address ` L��e_. AeiwA 4s9d _ Village Owner AVV M001,0_5 Address ��+ �� ,Cils�oL �� ;0ilt Telephone Permit Request Z r w Square feet: 1 st floor: existing pr�posed 2nd floor: existing -proposed$Total new Zoning District F Flood Plain " Groundwater Overlay Project Valuation 0, Construction Type_uj_ 1-0_ Lot Size /1J,,�/(�v�a Grandfathered: ❑Yes ❑ No If yes, attach supporting documeritation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure / _ Historic House: U Yes ❑ No On Old King's Highway: ❑Yes Slo Basement Type: ❑ Full ❑ Crawl L&<alkout ❑ Other Basement Finished Area (sq.ft.)_1) lye .,Basement Unfinished Area(sq.ft) Number of Baths: Full: existing_ new Half: existing �_ new ' Number of Bedrooms: existing f2new Total Room Count (not iZas ing baths): existing new First Floor Room Count Heat Type and Fuel: >� ❑Oil ❑ Electric ❑ Other Central Air: Y<es ❑ No Fireplaces: Existing _New 0 Existing wood%coal stove;. ❑ Detached garage: ®'existing ❑ new size_Pool: ❑existing ❑ new size _ Barn ❑existing ❑Gew Sze DPI Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size_ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ -Commercial 0 Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name e!N �LOelephone Number �7�®�C36 Address OP l 0 -..License # /l Home Improvement Contractor# Worker's Compensation # 416 7V®f/--03 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE c'S� FOR OFFICIAL USE ONLY ` APPLICATION# DATE ISSUED MAP/PARCEL NO. 4 ADDRESS s VILLAGE .. : OWNER 7 DATE OF INSPECTION: FOUNDATION1. FRAMElw� ��V6L—RMs�-- � INSULATION a T FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL g FINAL BUILDING AF/ ° 6 t r4. It DATE CLOSED OUT ASSOCIATION PLAN NO: "~ ✓' r , The Co-snmonwealth ofAVfassachusetts . Department of Industrial Accidents , i ;�'4 i Office of Investigations 600 Washington Street Boston, MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Address: to, City/State/Zip: r P Phone #: � 57 Are an employer?Check the appropriate box: Type of project(required): [2. am a em ,lo er with 4. I P. Y f ❑ am a general contractor and Iemployees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction ❑ I am a sole proprietor or partner- listed.on the attached sheet.t 7• ❑ Remodeling ship and have no employees These sub-contractors have B. ❑ Demolition working for me in any capacity. workers' comp. insurance. [No workers' comp, insurance S. ❑ We are a corporation:and its .9• ❑ Building addition required.] officers have exercised their ]0•❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 ],❑ Plumbing repairs or additions myself. [No workers' comp; c. 152, §10),and we have no ]Z•0 Roof repairs insurance required.] t. employees. [No workers' comp. insurance required.] 13.❑ Other Any applicant that checks box#I must also fill out the section below showing their workers'comensation policy in t Homeowners who submit this affidavit indicating they are doing all work and then hire outside p formation.contractors must submit a new affdaviC indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. J Insurance Company Name: ® lil�i�✓ 4 Policy#or Self-ins. Lie.#: V �/�� g pn-ahon Date: / Job Site Address: 4ag�4 �i & City/State/Zip: 1 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can Lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do herby certi der the poi d pen s of perjury that the information provided above is true and correct Si a-tare: Date: Phone#: G Official use only. Do not write in this area, to be completed by city or town official City or Town: PermitlLicense# Issuing Authority(circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing:1 -ct7 6. Other I Contact Person: Phone#; Information and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as "..,every person in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual, partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on thegrounds or building appurtenant thereto shall not because of such employment be deemed to bean employer." MGL chapter IS2, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or•permit tb operate a business or to construct buildings in the commonwealth for any applicarit.who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractors) name(s), address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permitflicease applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proofthat a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,,telephone and fax number: The Commonwealth of Messachusctts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 TeL# 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax # 617-727-7749 www.m�ass..gov/dia RIP F L -M_ +ww -- ..... ..t:.: -'. ,x�.c� :x .f. ,vkA`b�",i C� � t-' T a - -• e�i Z�, Drrff ACORDta CERTIFICATE OF LIABILITY INSURANCE. r .;<DAO (/l7/201 'e s THIS CERTIFICATE IS ISSUED AS MR OF INFORMATION ONLY AND PRODUCER AATTE Applied Risk Insurance Services, 'Inc., CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. -THIS 10825 Old Mill Rd CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE Omaha, HE 6 8 15 4-0 6 4 6 A`FFORDED BY THE POLICIES BELOW. (8 7 7)2 3 4—d 4 2 0 INSURERS AFFORDING COVERAGE r" NAIC# INSURER A: Continents Indemnity Co. INSgiver, Carey INSURER B: ao dba Grover Building and Remodelingi PO Box 1080 INSURER C: tix y: Cotuit, MA 02635-1080 INSURER 0: CTL 1273 520498 INSURERE: COVERAGES r THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY•REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE-INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS- - INSR DD' - POLICY EFFECTIVE POLICY EXPIRATION LTR NSFIC TYPE OF INSURANCE POLICY NUMBER .DATE MM1DD/YY DATE(MMIDDNn LIMITS- GENERAL LIABILITY - EACH OCCURRENCE $ „. COMMERCIAL GENERAL UABIUTY DAMAGE TO RENTED PREMISES Ea occurrence $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE S GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ PRO- POUCY JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident). . $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS - - BODILY INJURY - - NON-OWNED AUTOS - (Per accident) S - PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO EA ACC $ _ ) OTHER THAN AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D'CLAIMS MADE AGGREGATE $ is I I DEDUCTIBLE 17]RETgNTION ,$ $ 4 WORKERS COMPENSATION AND - WC STATU- TH- EMPLOYERS'LIABILITY TORY LIMITS.. PER ANY PROPRIETOR/PARTNER/EXECUTIVE 46-805700-.01-03 08/31/10 0 8/31/11 E.L.EACH ACCIDENT $ 500, 006 ` OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 5 0 0,0 0 0 It yes,describe under �4 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 T OTHER - a DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS - CERTIFICATE HOLDER CANCELLATION- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Grover Building and Remodeling EXPIRATION DATE'rHEREOF,THE ISSUING INSURER WILL ENDEAVOR TOMAIL 30 t PO Box 1080 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON C O t u i t, MA 0 2 6 3 5-1 0 8 0 THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESE Attn Project Manager :1783118 ACORD 25(2001/08) ©ACORD CORPORATION 1988 1 �ryrr Town of Barnstable -�- " kegulatory Services t ` SARN6TABL£� s Thomas F. Geiler,Director ABuilding Division Tom Perry,Building Commissioner 200 Main Strcet, Hyannis,MA 02601 www.town.b arnstab le.ma.us Office: 509-862-403 8 Fax: 509-790-6230 Property Owner Must Complete and Sign This Section If Usk A Builder as Owner of the s*ect.property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for (Address of Job) S' of Own ate Print NaKae �U If Prope�Owner is appjytng for permit please complete the Homeowners License Exemption Form on 'the reverse side, Q:F0 RMS:O WNERP EW ISS 10N Town of Barnstable - � . Regulatory Services a�itxsusr.E = Thomas F. Geiler,Director hsAss. for t63� �� Bailding Division Tom Perry,Building Commissioner 200 Maid.Street,_Ayannis,MA.02601 www-to wn.b arnstab l e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOl\7EOWNER MUNSE EXEMPTTON Please Print DATE. JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire e3who does not possess a-license,provided that the owner acts as supervisor. DEMMON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to- be, a one or two-family dwelling, attached or detached siructures accessory to such use and/or farm structures. A person who constrgcts more than one home in a two-year period shall not be considered a bomeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section I09.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that.he/she understands the Town of Barnstable Building Department m;nTmum inspection procedures and requirements and that he/she will comply with siid'procedures and requirements. Signature of Homeowner Approval of Building Official i Note: Three-family dwellings containing 35,000 cubic feet or larger Will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION .The Code states that: "Any homeowner performing work for which a building permit is required span be exempt from the provisions of this scction.(Scction 109.1.1 -Licensing of construction Supenvsors),provided that if the homeozyncr engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor.", ) any homeowners who use this exemption are unaware that they an;assuming the responsibilities of a supervisor(see Appendix Q. Rules&Rcgblations for Licensing Construction Supervisors,Section 2.15) This lack of awareness bficrr results in serious problems,particularly when the homeowner hires unlicensed persons. In.this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supm isor. Tbc homeowner acting as Supervisor is ultimately responsib)e. To ensure that the homeowner is fully aware of lris/herresponsibilitics,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is it form currently used by several towns. You may care t amend and adopt such a fomr/ccrtifrcation for use in your eotrurrunity. Q:forrrms:homocxcmpt Massachusetts- Department (it Puulic ti�t� Board (it' Building-, Re-tilations an 1 Stand u(14--, r.43 Construction•Supervisor Licl=. se •. 7;,• License: CS 77754 Restricted to: 1 G CAREY C GROVER ' PO BOX 1080 COTU IT, MA 02635 Gi—�— Expiration: 11/22/2011 l ("..uunisi mcr Tr—,: 7783 c s; 6711r �ory,Unz uea o��.✓1�o%auc/�zcr�ella g License or registration valid for individul use only <�-;�\ Office oT�onsumer A�f�airs��dsmcss lfegulat�on ,. —_ HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Type: Office of Consumer Affairs and Business Regulation r __ .Registration: _u"144322 YP 4, Expiration 9/23/2012 DBA ]0 Park Plaza-Suite 5170 Boston,MA 02116 6R ER BUILDING±,REMODELING CARE)' GROVER 56 BOWDOIN RD MASHPEE,MA 02649 Undersecretary N valid without signature - t i E MIR File 'Edit T0al'3 Help ] stonier account information--- Year/Type/Bill No. 17Q91 ___ 211 RE R j _� tJl F TR Detail IGCaINS,MARY F Orig Bill IMANCHESTE'R.,MA 41944 property information ASH CHECK Effective Date - Parcel ID Lien/SaleAlt Parc L._ _._ - 38 LITTLE RIVER ROAD Scan Bill Prop Loc - _ - . .... -- B `STABLE li Special ConditionslNofes -- - PER_ _.._,..,.., Quick Entry _.--------- _ Unpaid bal Utility Acd Billed AbtfAdj PmtlCrd Interest i - 5+5187 ; 3,395 52 I _ Customer 'E 0$�Q311f}hDt I)Q -------3 ._..--- _ 3 395 52 �r— t j 4 Q 7 3900 3.55194 551 871 Name i 0?1fl2111 3,551.94 3,588.15 i 135.24 4 3,551.92 - ---- _.W___. _:__ Parcel 5f03111 _i - - - - -- — .04 701, ------ -- Feesl Pen _ .{1U _ _ ..__ _ Prop Code �136.24? _ 3 588.15 Totals 15 218.54 1 323 74 1f?34298 _. - - Bill Dates 3,69816 _ Due Lb11 _........ BillAudrts Per Diem Notes/Alerts 1.3 Bill _ — ---- -- 274.81 Bill Events !AN 1 Owner: N1CICELI AR,PETER F TR Iryt Paid __.... Total Paid 10517.79 Reprint { Preferences "or unpaid b its I Diagnostics Attachments of 1 Display transaction history#or the current bill. �,. - My File Edit Too#s Help Customer account information i Year/Type/all No i 31615 361257° [ 2(}11 RE 0 _-- —--- ------- -. MC'KELLAR,PETER F TR - Detail-- PETER F MMLLAR LIVING TRUST f 2$128 PAC CST HWY SPC 74 =QogBill � II I MALIBU,CA 90265 I Propertyinforrnetion cK E3fective Date _ .... Parcel ID------------ LienfSale At Parc -__Scan'Bill Prop Loc 38 LITTLE RIVER ROAD _ _ ---- --`--- - ; BAR- TABLE ( i Special Conditionsfhlotes Quick Entry ---------- Interest Unpaid Bal Inlay Acd 1 B11ed AbtfAdj PmtfCrd i .00 - Customer ( --- - - _.- Go1,461-66 53. Name /f}3f11 i 1,407.97 -- 1 _ - ---- 53�99 -- - - - Parcel f}5ff}3f11 - - . _— r _ Fees/Pen _ _ ~-2,923.32 Prop Code -', :� Totals B01 Dates Z 923 32 _ ( Due 4fl_ r�11 _ _.. Bill r' dds NotesfAlerts 1.0s Per Diem i 13ID Eversts ( JAN 1 Owner. MCKELLAAR,PETER.F TR Int Paid _ -- Total Paid -- Reprint t ---- Preferences - ?(�Mw prior'unto&d I i k Diagnostics - �._----- Attach_marts f11� Displaytransadion history for the current bill. . , �1HE Town of Barnstable *Permit#. �. Re Mato Service Expires 6 mont s rom iss e ■axrrszest�., g s Fee h Thomas F. Geiler,Director ArFD UAA't Building Division �►v Tom Perry,CBO, Building Commissioner Q, 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-623 0 EXPRESS PERART APPLICATION - RESIDENTIAL ONLY Not[valid without Red X-Press Imprint Map/parcel Number 0-5 3 Property Address - L<< esidential Value of Work O� �� Minimum fee of$35.00 for work under$6000.00 Owner's Name& Address ,4 _ ZZ S A 4A" r .. Contractor's Name f Telephone Number_�j��-��y Home Improvement Contractor License#(if applicable)_ Construction Supervisor's License#(if applicable) orkman's Compensation Insurance PERMIT Check one: ❑ I am a sole proprietor U ❑ I am the Homeowner TOWN Or lave Worker's Compensation Insurance B�RNs�� Insurance Company Name r19W&�v Workman's Comp. Policy# 4 _ Y-0S 70/ Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) &c%AI 7V Q&� �Ootie Oltl 4 01�a 4/-6�s�re Re-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) Re-side #of doors replacement Windows/doors/sliders. U-Value (maximum .44)#of windows *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License & Construction Supervisors License is ired. SIGNATURE: Q:IWPFILES\FORM- &4 S\building pe forms\EXPRESS.doc Revised 070110 ` The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/ Phone#: �� - ArEyon employer?Check the appropriate box: Type of project(required):. 1. employer with 4• ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6• ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp.insurance.$ 9. ❑Building addition. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doin all work officers have exercised their g 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL c. 152 12. oof repairs insurance required.] t ; §1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showingthe name of the sub-contractors tractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 7-d Policy#or Self-ins.Lic.#: 4z—S0,57-1 _0_3 Expiration Date: Job Site Address: City/State/Zip• W _ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL I c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify u the pains a penal ' s of perjury that the information provided above ' true and correct Signature: Date: Phone#: Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: t oFT"ETa,, Town of Barnstable Regulatory Services w MUMSTASLE, yeMASS. Thomas F.Geiler,Director �o i659• �� prFo�.iA Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601.. www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, AW/ �` , as Owner of the subject property hereby authorize to act on my behalf, . in all matters relative to work authorized by this building permit application for: ob _ (Address of J ) g �/ � t Signature f Owner Uate - IhF. . s Print Name 1 If Property Owner is applying for permit.please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION �oFZHEr Town of Barnstable P ti O Regulatory Services • BARNSTABLE * Thomas F.Geiler,Director y MASS. �A ib39• ,�� Building Division rFo �a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 ' R'ww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION ,. Please Print DATE: JOB LOCATION: number street village "HOMEOWNER name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that be/she understands the Town of Barnstable Building Department mimrnum inspection procedures and requirements and that.he/she will comply with said procedures and requirements. �W Signature of Homeowner- :,Approval of Building Official Note: Three-family.dwellings containing 35,000 cubic feet or larger will be required to comply with the State.Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such s work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used-by several towns. You may care t amend and adopt such a fonn/certification for use in your community. Q:forms:homeexempt Massachusetts- Deliartment ot•Publrc Sateh Board of Buildin!or Regulations an Stautd.trdS Construction Supervisor Licftse , I License: Cs 77754 � . Restricted to 1 G,. CAREY C GROVER �` r PO BOX 1080 COT.UIt, MA 02635 M Expiration 1�/2y2011 . . i Tr#. 77.83 Cummissione"r` Via, G" �\ O.frce ot:Coas-- rzA Bid r. HOME IMP is smess egu ahon ROVEMENT CoN7 :' License or registration valid for mdividul use only Registration RACTOR } before the expirtra a144322 y Exp*ravon g/23/2012 TYpe Office of Consumer91 u date.. .If Found return DBA , . Affair and.$u urn to G ER BUILDING+ i; 10 Park Playa,.Suite 517Q, ' Wpm Iiegul�tion, j i REMODELING j Boston, 02116 CARE' GROVERY 56 BOWDOIN RD MASHPEE MA 02649 , ;:Uuder secretary N __...._ alid without`Sig rt5 tore . I z � yr - ACOf�D,M CERTIFICATE OF LIABILITY INSURANCE °"s(/17/01b PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND Applied Risk Insurance Services, Inc. . CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 10825 Old Kill Rd CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE r Omaha, NE 6 8 15 4-0 6 6 6 AFFORDED BY THE POLICIES BELOW. (8 7 7)2 3 4—4 4 2 0 INSURERS AFFORDING COVERAGE NAIC# INS INSURER A: Continents enmity Co. �ver, Carey a dba Grover Building and Remodeling INSURERS: PO BOX 1080 INSURER C: k, Cotuit, MA 02 63 5-10 8 0 INSURERD: C T L 1213"5,2 0;6 9 8 IN E: COVERAGES .THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO-THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. k NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION.OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' r rI. POLICY EFFECTIVE POLICY EXPIRATION LTR NS TYPE OF INSURANCE POLICY NUMBER DATE MM/DDN DATE MM/DDNY LIMITS is GENERAL UABILITY yrt EACH OCCURRENCE S COMMERCIAL GENERAL LIABILITY - - / +% DAMAGE To RENTED PREMISES Ea occurrence S CLAIMS MADE❑OCCUR MED EXP(Any one person) S PERSONAL 8 ADV INJURY S GENERAL AGGREGATE S GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S PRO- POLICY F71JE LOC AUTOMOBILE LIABILITY - COMBINED SINGLE LIMIT ANY AUTO (Ea accident) S ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) S HIRED AUTOS y.:. BODILY INJURY ' NON-OWNED AUTOS (Per accident) S PROPERTY DAMAGE (Per accident) GARAGE LIABILITY - AUTO ONLY-EA ACCIDENT S - ANY AUTO - - EA ACC 5 OTHER THAN AUTO ONLY: AGG S EXCESS/UMBRELLA LIABILITY _ EACH OCCURRENCE S OCCURCLAIMS MADE AGGREGATE S s DEDUCTIBLE S HRETENTION S _ WORKERS COMPENSATION AND X. WC STATU- U7H- - EMPLOYERS'UABIUTY TORY LIMITS ER ANY PROPRIETOR/PARTNERlEXECUTIVE 46-805700-01-03 .- 0 8/31./10 0 8/3 1/1 E.L.EACH ACCIDENT S Soo, 0 0 0 OFFICERIMEMBE If yes,describe R EXCLUDED? under SPECIAL PROVIS 5 0 0, 0 0 0 E.L.DISEASE-EA EMPLOYEE S .,IONS below E.L.DISEASE-POLICY LIMIT S 500 600 OTHER - DESCRIPTION OF OPERATIONS/LOCATIONS!VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE S. Grover Building and Remodeling EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 FO Box 1080 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT 5. FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON CO t w i t, MA 0 2 6 3 5-10 8 0 THE INSURER,ITS AGENTS OR REPRESENTATIVES. c. AUTHORIZED REPRESS Attn: Project Manager 1783118 ACORD 25(2001/08) ©ACORD CORPORATION 1988 � � - p l o �G� clN � � � 2 �o �� N�� ®J► �� DIME t Town of Barnstable. u fig'' tio� Barnstable Historical Commission 200 Main Street,.Hyannis, Massachusetts 02601 v BARNSTABLE, (508) 862-4787 Fax (508) 862-4725 �A i639, www.town.bamstable.ma.us rF0 Mp't a ', Mary F. Higgins Archi-Tech Associates Inc. 6 School Street Cotuit, MA 02635 � VThomas Perry, Building Commissioner - 200 Main St, Hyannis MA 02601 Re: INITIAL DECISION of the Barnstable Historical Commission, pursuant to the Code of the Town of Barnstable ss 112-1 through ss 112-7; an application for DEMOLITION of property as follows: 38 Little River Road; Cotuit MA MAP PARCEL: 053007 At their meeting of April 21, 20.11, the Barnstable Historical Commission considered the above referenced application for demolition of portions of the house. The house is listed on the National Register of Historic Places—the front portion of the house dafes from- c� 1780 and is the only remaining Half Cape house in Cotuit. The applicant proposes to t demolish the modern rear ell to the first floor deck and rebuild this section of�ihe house The rear dormer on the older front section would also be removed.This dormer is not original to the house. r . The Barnstable Historical Commission made the following recommended changes that were agreed upon by the applicant and designer: 1. Create a false ridge on the ell, and frame the two dormers to each other below the ridge as is the front dormer; 2. Ensure that the ridge board is lower or at the same height as the ridge line. 3. Add a false corner board to define the original structure of the half Cape; this would require that the third window in the basement be slid moved over. Based on the plans by Archi-Tech Associates�dated-l4-Apri1,-2011, as amended, the Historical Commission found that the proposed restoration and reconstruction plans do not constitute a significant alteration of the historical and architectural character of the house at 38 Little River Road, and no public hearing-would be required. Present and voting unanimously to accept the plans for restoration and re-building referenced above, as amended, and without a public hearing were: George Jessop, Jessica Rapp Grassetti, Nancy Clark, Nancy Shoemaker,Len Gobeil and Marilyn Fifield. Sincerely Barbara Flinn, Chair man April 2011 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Man Parcel Permit# / ®V Health Division D Lt'�gTi7�' Date Issued �/ ?/0 Conservation Division J-14 03 `cn Application Fee Tax Collector ' Permit Fee OJ•306' Q SEPTz a s T �]e U-T 0v Treasurer U IN-3TALLrE€D IN C0711 PLIANCE Planning Dept. VATH TITLE 5 4. ENVIRONMENTAL CODE ANE Date Definitive Plan Approved by Planning Board T01%gJ REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address s� �i`/z� ( , r✓'0-72- -P,�> Village (fC Owner P&I �6 7 N e Jd�i�11 2 Address 3 y Telephone - ✓� �� Permit Request 1� - G� �� J �"� U �'�y �71 ' `> �� v r L• Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other f . 1-'-Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half:existing i new Number of Bedrooms: existing new w Total Room Count(not including baths): existing new First Floor Room t7dunt , h, r Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other f 71 _ 9 Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal tove: 33Yes 3�!❑No N) CD Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑exi ting ❑Cnew she Attached garage:❑existing ❑new size Shed:❑existing ❑new size_Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# ..__,Current,Use — _ -- - Proposed-Use BUILDER INFORMATION Name 4 012 Telephone Number �Q T Address;T /J Sadly Sul i l► License# 'C 5 6 Vg t�-n ' Z 6&7e 2 c5e Home Improvement Contractor# Tr - z;-" IVA'. Worker's Compensation# /17/'5 a ALL CO STRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 13q Co r SIGNATURE DATE ��®� `t FOR OFFICIAL USE ONLY S . i p PERMIT NO. w t DATE ISSUED MAP/PARCEL NO. '} ADDRESS VILLAGE 1 y ;s OWNER DATE OF INSPECTION: FOUNDATION FRAME CL q b—; INSULATION k?C®3 FIREPLACE ELECTRICAL: ROUGH FINAL ,r PLUMBING: ROUGH FINAL . ' GAS: ROUGH FINAL FINAL BUILDING i �� °- ' DATE CLOSED OUT .tea r i ASSOCIATION PLAN NO. I The Commonwealth of Massachusetts Department of Industrial Accidents affee Vally stigatinns 600 Waslsington Street Boston,Mass. 02111 - '� Workers' Com iensation Insarance AffidavitSEMI / nE111e' c . location: '� gg L ci ❑ I am a homeowner peean=11 all work myself I am a sole rietor and have no one workin in ca ac1 iisoge riiriiiiii iiiiiiiiaiiiii iiii %/%/%%/S/%// gioa�/ job %%/%///% compensation for my P oyee .:-.,•x ,:. ,:.xo, r ,a}{ ''%h".::f: workers m�T1pT '4 x.:"•`::#3t:".$:fCrro{r/}r;?K;'??h°#?f:. ��v .. ;;�Y xJ'f'�;?:;•.�h-.y'.:�ti::,v{,+.;.,•v::A.:•� w '•`7... Y;re;:f?.ff:Y::•:}:Y�f3:Y•}:•:v:'>x';..kx•.3.ti�.'?o::.f•:r:::.:}:kx!•:.,..Y,::v;};:¢?£'.::d;•kto'}Y:•v.:{�? 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ME?.r,}i,.;.;>yy;?..{,,,:::3:.}r&• i{:rr:: .• r,.'#'t:'i'•#:':a%+?+2:::••{•r'•f:.•}?f'•or?.,;.. yj�^.;; •• r}?xaxJ.::;.t.{ .};3.}Y::.}:,':+ •..{??{J;vr,.;-�:}{, ; 4ni,:{r.{2. ,! \}y;•7;v}}:}:hkt•:?x:\.,.v..... .;:?• .,.. > QT84CeCO3::'s> }}:`:•' '�v' xts3i:?:,; #J:a. <: Fa�mY to aecmre rnverarte su req d under Section 25A of MM 152 csa lead to the imp osition of es�sittal penaltir�of a$ae>sp to 51,500.00 amdlor one ears' ecM cnlaeat as tteII as dva penalties in the form of a STOP WOE ORDER s a fine of$100.00 a day against ma I understand that a y be fozxard� �e Oiflce of Investigations of the DIA for coverage veliffcation. copy of this atatementmay _ hereby certify under the pains and pe aides ofpe7u'tha the information provided above is.iru,and correct I doh Y Date g G� Signature �� Phone# print name P,72 oMdsluse only do not write in this area to be completed by city or town official ' ogugAing Department pesIId{/llcenae# ' (]IAcensingBoard city or town: oSdectmews Office dleckifinunedlite response is required ❑Health Deparfsnent []Other Phone if; contact person: oryised 9195 PIA) Information and Instructions Massachusetts General Laws chapter�152 section 25 rtRuires all employers to provide workers' compensation for their employees. As quoted from the 'law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,Partnership, association or other legal entity, employing employees. However the-owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of s license or permit to operate a business or to construct.buildmgs in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neitherthe commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your sirtuation and supplying company names,'address and phone numbers along with a certificate-of insurance as all affidavits may be submittecito the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is big requested, not the Department of Industrial Accidents. Should you have any questions regarding the`law"or if you are required to obtain,a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please number which will be used as a reference number. The affidavits may be retzrme3•to be sure to fill in the permit/license the Department by mail or FAX unless other arrangements have been made. ns would like to thank you in advance for you cooperation and should you have any questions. The Office of Investigatio please do not hesitate to give us a call. The Department's address,telephone and fax number. The.Commonwealth Of Massachusetts Department of Industrial Accidents Office of lnvesugauans 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 nhone#: (617) 727-4900 ext. 406, 409 or 375 oFZHE,�- Town of Barnstable Regulatory Services snxxszner�. • Thomas F.Geller,Director 9� 16 9 A Building Division pTED MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type.of Work: ��/YJ Estimated Cost _ Address of work: 3 a) ` � ZC!, ` Owner's Name: Gs L�`n- %'v/G // y Date of Application: / I hereby certify that: JJ lion is not required for the followin ❑Wo uded by law o Under$ , C]Building not owner-occupi ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit ass the agent of the owner: u 7 _ �a a3 VS ECiit,dq 2� J�UL/8� ' 3 0� / Date Contractor Name Registration No, OR n,+, Owner's Name RESIDENTIAL BUILDING PERMIT + +ES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSIiEET . ,W LIVING SPACE square feet x$96/sq.foot= x.0031= pins from below(if applicable) pI,TERATIO S( OVATIONS OF EXISTING SPACE f square feet $64/sq•foot= —F, x.0031= plus w('if'applicable) (®�9�O p I ACCESSORY STRUCTURE>120 sq.ft� >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf-1000 sf 75.00 >1000 sf-1500 sf 100.00 >1500 sf-Same as new bonding pest x.0031= square feet x$96/sq.foot STAND ALONE PERMIT'S x$30.00= peen Porch (number) �36,00 x$30.00= Deck (number) _x$25.00= Fireplace(Chimney (number) Inground Swimming Paol $60.00 Above Ground Swimming Pool $25.00 gelocationoving R, $150.00 g 2 O lM (plus above if applicable) permit Fee. • ' r�� 1ze 'C�oorvrizoaauJea/,b� a�✓�rvaar./uu.,ae� � BOARD OF BUILDING REGULATIONS License: ?NSTRUCT-ION SUPERVISOR Numbek 048207 B' a , � 14 Tr.no: 12480 i RIC V D,S HUR T PO BOX 208 ` `SAGA -RE; SAGAMORE; MA OZ61' Administrator - Board of Building Regulations and Standards_ HOME IIVIp12OVEMENT CONTRACTOR Registration 132475 Expiration: 2i13/2005 - ! Type IFldividual w RICHARD S HURT RICH ARD HURST�,IR .. - ," 990 SANDWICH RD. Y SAGAMORE,MA 02561 .; Administr ator M. . A ' - a a ' • a TM r - 4 �v .. x" a �w �i n .a x ' a g.s• - S} " �r .. � *: „r _ ^ •' + • a w ti a v �- i FROM FAX NO. AU9. 21 200.E 07:26AM PI FRD', :R:CH(AR)D HLIRSi FAX Nil, ?CtEi Pi tr' t'.1:4 3c�P.r� Town of Darastable Regulatory Services • "� Tbamas T,GeUer,Dsreerc r ` '• Baill h i lion Tom Purr, SaQdln=CommWoner 200 Maia s"t fte Hybi n ,KA.MQJ P ropetty Owner Must Complete and Sign TUe, Section If Using A Buildet Id ail,WuLtkexs zakmiivv to work su#haraled by 63s8 b,tildiag�. it aroplL=4=for ` (Addrass of Job) f, S*Atum cif Owner Date � . FROM Fq NO. Aug. 20 2003 12:22PM P1 FROM :R:CNARD HURST FAX NL1, 2003 C�1:06N1 r 1 Town of Barnstable + Regulatory Services s ThommF.Geger,Dlmter. Bullftg Division .• Tom Perry, SuUdlm ComnsWour 200 Main SLwt, Xy=zia,MA 02601 otr=: 508.8fi:, 8 FIX: 508 Property Ownes Muse Complete and Sign This,Section If Using,A►.BuDdet f 7 '� - Ll�41 ,a�C7ac of aubjee¢Pt°pry' hee�r7 author:zze-T'�C hf�`t�U f�s G to act ou m i babas, is aL=tteu zeIative zo wc3 k&utthL-jrjied by FbiA biAdiag pe=mit apFdirmt-i m for 3Y rLc' / V cL)ice. rP -~ (Ad&"s of sigut=of Chvaer Late PI lie HATCH EXISTINS .r . E: G o � EOUAL EWAL Vf xi N _- SMOKE DEFECTORS REVIEW Et' n � q DECK ABOVE - a ry rc '.- .` Z �_ V • r. r -. , '; J EXISTINS COLUMNS•'-- BARNSTABLE ILDING DEPT. WDEJ(__ -� . REPL�ADE EWI F.T. —1X4 PVC STRIPS APFLIEd O ' TO UNDERSIDE OF J015T5 • g /-6XXISTI%PATIO TOBE - FIRE DEPARTMENT DATE w BOTH SIGNATURES ARE REQUIRED FOR PERAIITTII 0 " BRICK PATIO TO BE - LEVELEO AND REBUILT : - EOUAL MALL ASCFS 1181(%O) v - - CENTER ry - MMTINS:NO MUNiIN51 OPENING ON BEDROOM 3 BRICK PATIO . - - REMOVE EXISTING "I -�- R ..f2-5 34%3d13 4 CENTER IN Ex15TING �/ ` CHIMNEY N�' 1•` MUNTINS: OPENING _ V - R O N z AEC R 2 5 5/4 N-2/2)6 CENTER IN EMS— OPENING H--• _....: ONLONL.NBE I ON TIN DA EACH OT' Q`I' .. FOOTING AT EACH LG-UNJ4 � v LINEN O �\ • - - Q �'O 1X6 EDGE 1 LTI2. A TO UNDERSIDE APPLIED - J F FLOOR JOISTS ASLAW 2921 "' O _ 1, LENTER IN EXISTING R O:2-5 4 X ICI 3 4 �A(.IGN Ki4s ( A5COH 2953(TEMP) - - OPENING (MIINTINS:]WI R - 4 X 4-5 3 4 LENTER IN EXISTING - - BATH B 4 - — (ruNT, 2/2 /2 - OPENING ASLAW 1 21 CENTER IN EXISTING R .2-5 'X I- 31424%B4-TBS 3 CENTER IN E%ISTING OPENING (MUNTINS:2 WIDFJ _ .Y . - MUNTINS:2/2 OPENING BATH 3MECH. iT< LAUNbRr RM FLooa MECH. - -TO MATCH HEIGHT OF ' wu .. ((TBOUM�AT pROO�HWt FLOOR 2-BX6-H SIEEPEURSiifir OLJ P ASCAW 2921 _' --------- /y __ _ _ _.. __..____._ LENTER IN EX15TIN6 -RD 2-5 3/d X I-9 3/4 ALIGN WALLS _ v or u wE.:-a e u OPENING (MIR4TIN5:2 WIDEI I - �'„ 5 u „p c CENTER W FOLDING D. /• WALL ABOVE- rm - QYou 211 D:2- AH234 x IA CENTER IN EXISTING 'INSTALL AWNING. OPENING .. AUNDRY k -- - - (N1@ITI :2 WOE) T.V.ROOM - <�^==-:r-o-" LENTER IN EXI5TIN6 R O 5 3?4%14 3/4 r I A M 2H21 - OPENING (MJNTINS:2 WIDE) __ - 4 I :L IN X15TI G�y c -INSTALL A AWNING• OPENING »b=-__ - o „xs6 e „ -. NEW 2X6 WALL FASTENED TO TOP - - ----- OF EXIST.CONC. Ln........-. 0 --- ., V) . (FMIIM,LLDYYRR�FLOOR \` - ---" SLEEPERSa PJOC) W > (/) _ ASLCM 2H21 'N ------: ___. RD 2- Z75&A 3/4 CENTER IN EXISTING (n O _ 'INSTALL AS AWNING• OPENING Ii ' REMOVE LANDING -- -----OFFICE------ - ---- ('WINS!2 WOE)- �� AND LOWER PORTION EXISTING 5TAIR5 ____ ________---------------- Of ASCCM 2921 (n �/ }� +�• REW11-D AS SHOWN '--"- - XISTIWS LL5 1PPORTS RO 1 5 3/4 Iq 3/4 ONER IN EXISTING REPLACEDBEREMOWVETND4AXN6D / — •INSTALL A5 AWNING' OPENING O`J`_ cu FIR BEAMS i MUHTINS:2 WOE) C ti ---------- — —�--- �`p N ,--,Xb V�E{N EARS G Q [� . C m GENERAL PLAN NOTES WALL/DEMO . ` -ALL EXT.WALLS TO BE 2X45 C 16• O L(MRE55 NOTED OTHERWISE) WALLS AND ITEMS TO JOt)no.: 1016 _ BE REMOVED -ALL IM WALLS TO BE 2X45 0 16' date : 9 5EPT 2010 O.L.ILNLE%NOTED OTHERW15E) EXISTING WALL5 TO REMAIN -WALLS WITI POCKET DOORS TO $Dale : AS NOTED � BE 2X65 MPICALI Z:==== NEW WALLS dfawn JAL/ MN -IMPACT-RESISTANT ARCHITECT SERIES DEMO NOTES Tee, WITH IMPACT-RES15TA141'GLASS MEETING TTH ED.OF MASS.STATE ELDG CODE Ln (REFER TO ELEVATIONS FOR GRILLE -' PATTERNS) EXISTING OASHED WNDON5 4 WAL1_5 rev. ... TO BE REMOVED AND PATCHED AS ol y -REFER TO ELEVATIONS FOR WINDOW NEEDED OR REPLACED AS NOTED.RA.HEIGHT$ABOVE SJBFLOOR BUILDER t0 VERIFY EXISTING A- 1 N T H OPENINGS AND COMPARE iWtH NEWWINDOW SIZES PRIOR TO ORDERING o BASEMENT / LOWER LE `JE L P AN _ _ 5 L A L E, ,,<• _ ,•_0• ISSUED FOR PERMITTING ght I Of 4 EXISTING y E 6'.4• 6'-3" 1 C E CD Rg NEW r x PVC RAILING.BALUSTERS N rmPiZ p•;Q� RAILINGS AND POSTS V ��D p ~ re O .. am_ 19 n � %a IPE DECKING R AT o d O - _ P.T.FRAME NEW 2Xb �xrv4 V o ExISTING SLOPED - 4n CLb.TO REMAIN.FUR - , DOWN TO LEVEL OF - Y y DECK E O Y ASLDH 3365 EGUTL EQUAL'• CUSTOM 10 SERIES•ENCOMPASS' SLIDING WINDOWS R.O.:1-9 /4 F 4-II%s-0 ETXISRTEIIMIGAIFNLAAT ROOF .O V (MM 2I 3/21 ALIGN WALLS ON. a (MUNTINS:7 WIDE AT iOP) MEM'SBfiA:4 NEAFIL'ROOFINb ASLDN 336sm EATING xq . R O.:2-9 3 4 X -5 3/4 //� C (MIMTINS: 3'-O'TALL OJSTOM 10 SERIES'ENLOMPA55' i x .. r - (IJ SH IX LAP/ 1X5 NOD PANELI SLIDING WINDOWS r SHELF 5' ON WALLS(INSTALL 1 Rp:4-II X 54 - -E+ - •r*, N EDGE OF FLAT/ HORIZOMALLY) (HryWTINS:2 NIDE AT TOP) 5LOFED CLG. (IMmOo LLGJ IF FAMILY .. _ ROOM. v �. _ ry n .._ - a�� TYGHEN'I� s I 7-31/a•. � a Ilti �vV4%PWOSRTAP CUSTOM IO SERIES NPPo ' (MUNTINS:2 WIDE AT TOPI Rm REMOVE EXI5TIH5 ASCDH 1541 CHIMNEY(PATCH FLA) v w 4n •_ (MUNTINS:1/11 """ f D7# m CUSTOM 10 SERIES•ENCOMPASS• i�KITCHEN DESIGN RIDING WINDOWS REF r BY O1HER3 i t Rp:4-11% ry 3-II 3 �' /Z/-, EO)AL� EWAL 5'-2 (MRITINS:1 WIDE AT : m r r PDR. POSITION NEW WINDOW AscOH 1s41 SEAT' VE UL 4i 3 RM. AS NEEDeO TORrpnpRK R O:2-I 3/a%}5 3/4 PANTRY Q w ASLCM 2535 fLl (RETHPER i501ELEV5J F ' fMIRITINS:2/2) MNE REF GOATS Ro:1-1 3/a x 2-u /a '1 BELOY� fM1NTIN5:2 WIDE X 2 HIGH) - oa IS ALIGN WALLS - - CENTER IN E%ISTINb ASLDX 2 53 OPENING RO:2-5 3/4%4-5 314 SHIFT6 IFN E (MUNTINS:2/2) DOORS IF NEEDED 'DN. ? ROf4E VALLEY DOOR-(R) _ �`-'J _ FONDERER ROD. NEW r� (3-0xb-E - o BEDROOM I F FOYER 21 Nv R (1 WIDEIPE 2 HIS X 2 HIbH) ` DINING / RO.:}31/2 X6-N _ Q PORCH �LENTER IN EXISTING ASCDH 14EBQ�'•ti\ ,___ _ -- ui OPENINi R O:1-5 3/4 X 4-5 3/a (NIMITINS:2/2) t LOCATE EXIST. 6a t'o n e ay' DOOR - ASCOH 2453. CENTER IN Ex15TINb P AL OPENING o u 2.2 CENTER IN EASTING ASCOH 1H53(TEMP) d c u-r o= .. - OFENIN& RO.:1-53/4 X 4-5.3/4 - ra - wo r '� (MJNTIN5:2/2) 's _ / 4 �2-ax6 - p REMOVE EXIST.DOOR ION OF - ASCDH 1453 CENTER IN EXISTING LANDINS AND LO.TER - ON RD,2- / X - �� V PORT STAIRS: f"TINE:2/2) ,EEUILD AS SHOWN ' ALIGN WAL1-5 y .�`� _. A5CDH 4T53 IXED) CENTER IN EXISTINb�y NEW PDR ROOM O W LI VIN6 SEAT RD,3-I 3/4 X 4-5 3/4 OPENING DN. :n% _ (MJNTIN5:3WIDEx2 HIGH} � ._______ __,�__ ----------------- BEDROOM (n . 2 I O.V) Q -C ALIGN WALLS :3 0 - - - S ENT ` - - Ln ' o _ � M Ov -- ------------ _0 Cr H� jy m GENERAL PI.PN NOTES �'" WALL/DEMO rym^ mr'1 �•� -ALL EXT.NALL5 TO BE 2%45 a 16' OL(MILES$NOTED OTHERWISE) �I� GL ________ BE E REMOVEDTEMS TO job no, -ALL IM.NALL5 TO BE 2X45 O W - date : q 5E_2oio oz.NNu55 NOTED OTHERWISE) z zl = EXI5TIN6 HALLS TO REMAIN scale AS NOTED -WALLS NITH POCKET DOORS TO __� 'fit '. BE 2X65(TYPICAL) 12 _—� NEW NALLS _ JALJKMW N� drawn -HINDOWNPRENCH 5LIDING TO BE'FELLA' J O MI 6 _ IMPACT-RESISTANT ARCHITECT SERIES _z z rev. MATH IMPACT-RESISTANT&LASS MEETING TTH ED.OF MASS.STATE BLOB.LODE DEMO NOTES (REFER TO ELEVATIONS FOR GRILLE — ,yzr k' rev. , PATTERN$) Ex15TIN& EXISTING DASHED WINDOWS.NALLS Y - - AS REFER TO ELEVATION5 FOR WINDOW r TO BE REMOVED AND PAS NOT D. 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P T.RED CEDAR ROOF 5NINGLES ON ICE.WATER - HN SARNAfII'ROOFING MEMBWII� E MEMBRANE.P.T.RED ' TO B APPLIED ETO EXIT vENT�SNI.P.T RIDGE STAND INS COPPER ROOF ROOF Y STANDIN$SEAM TO V EXISTING I%IgRNERBOARDS - COPPER ROOF TO BE REMOVED AND REMl D W/NEW CROWN (TO HATCH Ex15TA r G FASCIA - PVC NEW PJL RAILINGS.BALUSTERS A NEW RAILINGS BALUSTERS f AND POST-REFER TO AND P05T-REFEf{ ' TO DETAIL DETAIL 6 TOP OF FIN.FUR p 5ECDND FL00R , •�� q 0 SECOND FLOOR IX4 IPE OELKIN6 .............. ...- IX4 In DECKING .------ — 01J P.T.FRAME ` ON 3%B P.T.FRAME (n MISTING DOOR TO " REFINISHED NINEP CL EN DETERMINED BY NEW BRICK MASONRY ^ CLIENT. LANOIN6 AND STEPS �✓✓//// NEW BRICK MASONRY T•N� LANDING AND STEPSItTI•--�1�1.:T--�1 44 V�1 aOF FIN.FLR. - _ O O) FIR � R.R. ST FLOOR e FIRST TOP OF FIN.R FLOOR 12 91 1I To HATCH ,A L VJ QJJ� I V - BED PV 2X l 2X CAP 111 " AND AND PVL RAILIN65 BALVSTERS POSTS-REFER TO DETAIL. _ TOP OF FIN.FLR _■ • " —IX4 IPE DECKING � LOWER LEVEL V u ON P.T.FRAME 11 FRONT E L E VAT 1 O-N P.r.bxb PosT RIGHT E L E V A T O N BUILT-QA W/ e Z 3/4'PLYWOOD ANp IX WRAP W/ SCALE: 1/4' I' 5a AL E: 1/4' 1'-O" ------ CHAMFERED EDGES a (T'XT'FIN.DIMJ . _ ........... -------. ----------- EASE W/ ' ' e O'DIA.CONIC.1UBE IN/26 VIA.'B16FOOT' FOOTING EXISTIN6 CHIMNEY - _ _ REMAIN m _ E- TO ga -_ m c.p� -cun�o�ge P.T.RED CEDAR ROOF n -_ m-uY a�m r P.T.RED CEDAR ROOF _ - MEMBRANE.P�RED TER _ +». O a,tla r mQ SHINGLES ON ICE T WATER CEDAR SHINGLE RIDGE A _ 12 11 S ice, - MEHORANE.P.T.RED - VENT EXIST QE%IST. CEDAR SHINGLE RIDGE - VENT Fa . TO BEAFIL'IE DTO E MEMBRANE ExISTING IN CORNERBOARD= �- - TO BE APPLIED TO EXISTING IT BE REMOVED AND REPLACED - a ROOF STRUCTURES RO MATCH ExSTING) ` EXISTING Ix CORNERBOARC V _ G TO BE TENII AND PZPL�D Q S _OP OF FIN.FLR. _� ` A EXISTIN6 INC.SHINGLE TOP OF FIN.FLR. 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TOP OF FIN FLR._ AMREP�O(roy.IATCH— q0 LOVER LEX'EL EXISTING) SCale AS NOTED - 8455 BASE W/ vB455 BASE W/ I%6 COI drawn KMW Q i IXb WRAP IXB WRAP Q TO MATCH FRONT '____..__. .__,__ reV. ______. ._ .__.. ._. 10'DIA.CONIC.TUBE '..__.___. rev. 10'DIA.(qNC TUBE W/213'VIA.'BIGFOOT' - 12 DIA.'016FOOT' FOOTING FOOTINN : a R E A R E L E V A T I O N LEFT ELEVATI ON A- 3 5LALE: 1/4" 1'-0" SEAL E: 1/4' = 1'-O' n ISSUED FOR PERMITTING snt 5 Of 4 E ROO 0 RE.E5^I ICE I RD CEDR F A ROO 'NANIUCKEi'5TYLE WATER V�EIAITEREMEMBRANE - LAP SON EX TRIxTJRE5 ROOF - F �OV ? N ` 0 PROVIDE RAFTER 2X4 TAPERED[PC ON IX BLOCKING BLOGKIN6 A5 NEEDED HANDRAIL ON IX TO ACHIEVE SOFFIT SUBRAIL 2• c _ DEPTH I2 - EXIST.p c ` r r - I%IPE—:. Y O A I%BLFASCIAR ON 2 a I JEtB FASCIA/ 4 P.T.POST LEAD CgATEO CORER ` 4X Ix WRAP Ex15T.� FLASHING 4X E O Y IX PVC SOFFIT —— — Q 21c2 BALUSTERS O ON 0 IX BED MOL WA _. X FRIEZE RD T ONI%BLOCKING I%ON 2%4 TAPERED � LOWER RAIL c IX HEAD LASING WR Ql (4 I/2'EXPJ - r ' •— v QJ 7' II" AP . S 0 IX BED MOLDING - w O Cc: I� 5• ON IX FRIEZE BOARD B[a• Y MAX. ON IX BLOCKING WL.5NIN-/-) WL.SHINGLES 4• _. r%S/I%B LONEBOARDS 6 V4• R R - M-+ O MATLN EXI5T. 6J I CORNER00ARD5 O - TOO MA MATCH EXIST. V — V J OEAVE DETAIL AT DORMER (TYPICAL) O DETAIL AT DECKS O EAVE/RAKE RETURN (TYPICAL) a SCALE,1 1n•-ro• SLUE:I•.I-o• sLAI-E:I In•.r-o• �1 ' STANDING SEAM COPPER ROOF 11 RED CEDAR ROOF ON IS LB.FELT 1 5/5'LD% SHINGLES W/ICE FLYWD.SHEATHING WATER MEMBRANEE im ON E%15TING ROOF STFLLGIURE 12 EX15T.� rr12 PROVIDE RAFTER BLOCKING AS NEEDOED r TO ACHIEVE EOFFIT DEPTH PROVIDE RAFTER - BLOCKING AS NEEDED TO ACHIEVE SOFFIT DEPM - IX LAP PVC GIIFTER ON _ I%B FA'LIA _m � �er o«Cl c .. - -6004 CROWN ON 'ate-ooe�:_<yo • r IX FASCIA -t BOARD - r Cn6 - . Ix PVC SOFFIT IX PVC SOFFIT z6L T / K e50M BED e0019 BED MOLDING J ON IX FRIEZE SOARD/ OON I FRIEZE N IX BLOCKING ARD HEAD CASING(NO BLOCKING) tU i V ' 4 W O SHINGLES � u = Ln OEAVE DETAIL (TYPI:CAL) O EAVE DETAIL AT BAY WINDOW o i y v SLUE:I ln•=r n SCALE: In"=Ho C Ln N N 4 } C J *' _ O� J � m� C cy cy • ).— lob no., IOIB date P 5E-2010 r SCa)e AS NOTED III drawn: KMW rev. FBV. a A-4 0 n F ISSUED FOR PERMITTING I sbt A of a J ' � I t i i , y , SCALE. APPROVED BY. DRAWN B DATE REVISED Ei , DRAWING NUMBER i I I i t k ' r I t I r 1 � `f (_ � � 1, ;'� � �v �%►� �t��; . .��;� 'mot . 1 Y^ 1'�, • SCALE: APPROVED BY: LDRVAWNDATE: SED t - DRAWING NUMBER I J i z _ �,/,,►� N � r /` Vy ►- '^�5 UvL C /-'ALL i .. �'.9`_.' yONT N(�C9�S' Gj 6,s��•F Vt 11 j'=.=:-:.:._�'i-•-- 1 X L�/L U,sir----- i � / 'y `j/Z ij , I �I I � �xl�i,� ��.:uwNS � � i� ,�,-�(..� �qS.�►JrF'L } tI I I r 0 I i SCALE _ - APPROVED BY. DRAWN BY/t/\ V: DATE REVISED DRAWING,NUMBER